| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $730.90 | $2,386.80 | $3,589.60 | |
Aetna
| Professional | $1,145.06 | $1,145.06 | $1,409.05 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 |