| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.74 | $210.74 | $210.74 | |
Aetna
| Professional | $150.00 | $150.00 | $200.00 | |
BCBS
| Facility | $147.62 | $178.70 | $240.41 | |
Cigna
| Facility | $78.18 | $127.73 | $229.12 | |
Cigna
| Professional | $50.37 | $50.37 | $50.37 |