| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Facility | $233.50 | $951.97 | $3,500.00 | |
Anthem BCBS
| Professional | $233.50 | $233.50 | $331.57 | |
Cigna
| Professional | $261.99 | $308.22 | $308.22 |