| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.95 | $168.95 | $168.95 | |
Aetna
| Professional | $125.00 | $242.10 | $342.24 | |
Anthem BCBS
| Professional | $56.70 | $70.42 | $110.27 | |
Cigna
| Professional | $106.20 | $106.20 | $106.20 |