| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $575.44 | $616.60 | $812.83 | |
Anthem BCBS
| Professional | $501.19 | $812.83 | $812.83 | |
Cigna
| Professional | $158.49 | $158.49 | $158.49 |