| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,726.72 | $1,726.72 | $1,726.72 | |
Aetna
| Professional | $1,151.72 | $1,726.72 | $1,726.72 | |
Anthem BCBS
| Facility | $949.00 | $2,682.00 | $3,352.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 |