| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.18 | $2,511.62 | $6,274.50 | |
Aetna
| Professional | $690.18 | $690.18 | $923.10 | |
Anthem BCBS
| Professional | $28.50 | $30.00 | $30.00 | |
Cigna
| Professional | $240.52 | $240.52 | $240.52 |