| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.68 | $1,966.24 | $4,350.54 | |
Aetna
| Professional | $507.78 | $507.78 | $825.24 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Medica
| Facility | $507.78 | $644.88 | $1,360.85 |