| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $638.00 | $1,553.00 | $1,835.00 | |
Aetna
| Professional | $425.00 | $425.00 | $1,924.85 | |
Anthem BCBS
| Facility | $949.66 | $1,048.00 | $2,620.00 | |
Cigna
| Facility | $202.79 | $366.42 | $948.70 |