| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $891.25 | |
Aetna
| Professional | $169.82 | $169.82 | $389.05 | |
Anthem BCBS
| Professional | $380.19 | $389.05 | $398.11 | |
Cigna
| Professional | $158.49 | $446.68 | $537.03 |