| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $676.08 | $758.58 | |
Anthem BCBS
| Professional | $1,047.13 | $1,047.13 | $1,047.13 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Cigna
| Professional | $457.09 | $537.03 | $549.54 |