| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $1,350.41 | $2,278.58 | |
Aetna
| Professional | $140.00 | $531.89 | $737.93 | |
Anthem BCBS
| Facility | $1,041.00 | $2,114.00 | $3,020.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 |