| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.25 | $855.25 | $855.25 | |
Aetna
| Professional | $700.88 | $855.25 | $855.25 | |
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 |