| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $2,691.53 | $8,511.38 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
Anthem BCBS
| Professional | $302.00 | $407.38 | $588.84 | |
Cigna
| Facility | $741.31 | $758.58 | $954.99 | |
Cigna
| Professional | $602.56 | $602.56 | $616.60 |