| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.00 | $212.00 | $212.00 | |
Aetna
| Professional | $153.00 | $153.00 | $153.00 | |
BCBS
| Facility | $281.16 | $422.66 | $784.74 | |
BCBS
| Professional | $239.04 | $310.59 | $419.58 | |
Cigna
| Professional | $349.80 | $349.80 | $349.80 |