| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $3,520.23 | $3,520.23 | $3,520.23 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
Cigna
| Facility | $843.00 | $843.00 | $843.00 |