| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.08 | $1,052.08 | $1,052.08 | |
Aetna
| Professional | $687.10 | $1,052.08 | $1,052.08 | |
Anthem BCBS
| Professional | $454.44 | $456.71 | $478.36 | |
Cigna
| Professional | $1,507.27 | $1,507.27 | $1,507.27 |