| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.71 | $242.71 | $242.71 | |
Aetna
| Professional | $242.71 | $242.71 | $292.31 | |
Anthem BCBS
| Professional | $141.22 | $141.22 | $204.20 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 |