| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $323.59 | $323.59 | $389.05 | |
Anthem BCBS
| Professional | $28.84 | $32.36 | $47.86 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 |