| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $977.24 | $977.24 | |
Aetna
| Professional | $977.24 | $977.24 | $1,202.26 | |
Anthem BCBS
| Professional | $20.42 | $20.42 | $20.42 | |
Cigna
| Professional | $158.49 | $158.49 | $158.49 |