| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,859.17 | $10,581.00 | $45,302.05 | |
Aetna
| Professional | $3,859.17 | $7,125.00 | $35,385.60 | |
Anthem BCBS
| Professional | $20.01 | $20.01 | $20.01 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 |