| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,015.00 | $3,015.00 | $5,400.00 | |
Aetna
| Professional | $175.00 | $318.22 | $1,963.12 | |
Anthem BCBS
| Professional | $60.64 | $60.64 | $60.64 | |
Cigna
| Professional | $673.84 | $673.84 | $673.84 |