| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.89 | $2,895.36 | $3,969.18 | |
Aetna
| Professional | $531.89 | $531.89 | $794.11 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $431.25 | $431.25 | $431.25 | |
Medica
| Facility | $531.89 | $650.50 | $1,242.66 |