| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.89 | $638.26 | $2,108.57 | |
Aetna
| Professional | $531.89 | $531.89 | $737.93 | |
Anthem BCBS
| Facility | $949.00 | $2,682.00 | $3,352.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 |