| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.02 | $406.02 | $406.02 | |
Aetna
| Professional | $410.33 | $429.48 | $429.48 | |
Anthem BCBS
| Professional | $27.20 | $32.00 | $44.16 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $88.76 | $88.76 | $88.76 |