| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
Aetna
| Professional | $1,548.82 | $1,548.82 | $21,379.62 | |
Anthem BCBS
| Professional | $2,041.74 | $3,388.44 | $3,981.07 | |
Cigna
| Professional | $3,801.89 | $3,801.89 | $3,801.89 | |
Medica
| Facility | $100.00 | $1,548.82 | $2,398.83 |