| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $56.23 | $61.66 | |
Anthem BCBS
| Facility | $346.74 | $371.54 | $758.58 | |
Anthem BCBS
| Professional | $10.96 | $10.96 | $10.96 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Select Health
| Professional | $346.74 | $346.74 | $346.74 |