| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,617.00 | $6,617.00 | $6,617.00 | |
Anthem BCBS
| Facility | $192.64 | $220.16 | $275.20 | |
Anthem BCBS
| Professional | $173.01 | $223.90 | $545.05 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 |