| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.88 | $163.22 | $672.50 | |
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
Anthem BCBS
| Professional | $186.74 | $248.99 | $650.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 |