| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.75 | $237.75 | $237.75 | |
Aetna
| Professional | $155.18 | $237.75 | $237.75 | |
Anthem BCBS
| Professional | $16.25 | $20.10 | $27.37 | |
Cigna
| Professional | $22.80 | $26.82 | $26.82 |