| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,478.17 | $2,478.17 | $2,478.17 | |
Aetna
| Professional | $5.81 | $5.81 | $390.25 | |
Anthem BCBS
| Professional | $63.80 | $85.07 | $96.80 | |
Cigna
| Facility | $709.90 | $709.90 | $1,870.23 |