| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Aetna
| Professional | $5,128.61 | $5,128.61 | $6,918.31 | |
Anthem BCBS
| Professional | $5,248.07 | $5,248.07 | $8,128.31 | |
Cigna
| Professional | $5,623.41 | $7,079.46 | $7,079.46 |