| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,712.44 | $6,118.00 | $22,040.00 | |
Aetna
| Professional | $4,390.39 | $5,160.84 | $15,620.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 |