| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,227.04 | $1,227.04 | $1,227.04 | |
Aetna
| Professional | $1,227.04 | $1,227.04 | $1,227.04 | |
Anthem BCBS
| Professional | $6.80 | $8.01 | $10.92 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 |