| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,943.28 | $7,943.28 | $7,943.28 | |
Aetna
| Professional | $3,801.89 | $7,943.28 | $7,943.28 | |
Anthem BCBS
| Professional | $8.51 | $10.00 | $11.48 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 |