| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $234.42 | |
Aetna
| Professional | $117.49 | $234.42 | $446.68 | |
Anthem BCBS
| Professional | $15.85 | $19.95 | $19.95 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 |