| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,398.83 | $2,398.83 | |
Aetna
| Professional | $2,089.30 | $2,398.83 | $2,398.83 | |
Anthem BCBS
| Facility | $123.03 | $123.03 | $239.88 | |
Anthem BCBS
| Professional | $112.20 | $123.03 | $199.53 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 |