| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.12 | $216.90 | $216.90 | |
Aetna
| Professional | $159.12 | $172.06 | $200.14 | |
Anthem BCBS
| Professional | $137.44 | $161.71 | $168.22 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
Well Sense
| Professional | $123.26 | $135.59 | $172.56 |