| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.43 | $1,613.00 | $7,929.40 | |
Aetna
| Professional | $855.25 | $855.25 | $855.25 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $440.66 | $440.66 | $440.66 | |
Medica
| Facility | $855.25 | $940.78 | $1,998.13 |