| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $707.95 | $3,019.95 | |
Aetna
| Professional | $263.03 | $295.12 | $416.87 | |
Anthem BCBS
| Professional | $158.49 | $263.03 | $263.03 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 |