| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $368.46 | $368.46 | $411.50 | |
Aetna
| Professional | $368.46 | $368.46 | $368.46 | |
Anthem BCBS
| Facility | $609.00 | $820.18 | $1,746.22 | |
Anthem BCBS
| Professional | $48.39 | $63.26 | $73.77 | |
Cigna
| Facility | $8,778.27 | $25,468.04 | $49,514.96 |