| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $369.68 | $369.68 | $8,802.04 | |
Anthem BCBS
| Professional | $378.00 | $378.00 | $3,780.00 | |
Cigna
| Facility | $1,408.05 | $1,408.05 | $1,408.05 | |
Cigna
| Professional | $498.96 | $498.96 | $498.96 |