| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $2,525.60 | |
Aetna
| Professional | $717.57 | $751.56 | $751.56 | |
Anthem BCBS
| Facility | $949.00 | $2,682.00 | $3,352.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 |