| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,751.72 | $1,751.72 | $1,751.72 | |
Anthem BCBS
| Professional | $1,318.02 | $1,844.50 | $1,875.00 | |
Cigna
| Professional | $783.67 | $783.67 | $783.67 | |
Medica
| Facility | $1,751.72 | $1,751.72 | $2,550.00 |