| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,520.23 | $9,496.00 | $11,627.00 | |
Aetna
| Professional | $3,520.23 | $3,520.23 | $3,520.23 | |
Anthem BCBS
| Facility | $2,777.00 | $7,180.00 | $30,285.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 |