| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,773.00 | $3,116.00 | $11,581.00 | |
Aetna
| Professional | $1,839.00 | $2,989.00 | $11,627.00 | |
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 |