| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.44 | $8,224.15 | $18,353.28 | |
Aetna
| Professional | $456.45 | $5,231.70 | $9,251.04 | |
Anthem BCBS
| Professional | $20.01 | $20.01 | $20.01 | |
Cigna
| Professional | $1,326.50 | $1,326.50 | $1,326.50 |