| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.59 | $303.16 | $1,591.00 | |
Aetna
| Professional | $44.59 | $44.59 | $50.06 | |
Anthem BCBS
| Professional | $102.60 | $119.00 | $120.71 | |
Cigna
| Professional | $343.67 | $343.67 | $343.67 |