| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.71 | $298.36 | $298.36 | |
Aetna
| Professional | $255.71 | $272.07 | $325.26 | |
Anthem BCBS
| Professional | $219.69 | $258.50 | $268.88 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
Well Sense
| Professional | $192.65 | $211.92 | $269.70 |