| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $1,313.15 | $2,278.58 | |
Aetna
| Professional | $717.57 | $751.56 | $751.56 | |
Anthem BCBS
| Facility | $1,041.00 | $1,991.00 | $2,894.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 |