| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,630.18 | $19,115.82 | $71,188.00 | |
Aetna
| Professional | $1,630.18 | $1,630.18 | $2,494.69 | |
Anthem BCBS
| Professional | $17.00 | $20.01 | $20.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 |