| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $9,332.54 | $16,982.44 | |
Aetna
| Professional | $457.09 | $3,890.45 | $13,803.84 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $1,318.26 | $1,318.26 | $1,318.26 |