| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.00 | $1,524.00 | $1,830.00 | |
Aetna
| Professional | $218.61 | $425.00 | $638.00 | |
Anthem BCBS
| Facility | $949.66 | $1,048.00 | $2,620.00 | |
Cigna
| Facility | $137.07 | $233.47 | $642.12 |