| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.15 | $398.15 | $477.78 | |
Aetna
| Professional | $94.97 | $182.86 | $398.15 | |
Anthem BCBS
| Professional | $57.50 | $57.50 | $57.50 | |
Cigna
| Professional | $179.84 | $179.84 | $179.84 |