| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,406.00 | $3,698.00 | $11,581.00 | |
Aetna
| Professional | $532.17 | $532.17 | $850.00 | |
Anthem BCBS
| Facility | $937.00 | $1,927.00 | $3,943.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $444.00 | $975.00 | $2,914.00 |