| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.01 | $208.01 | $260.01 | |
Aetna
| Professional | $260.01 | $260.01 | $260.01 | |
BCBS
| Facility | $1,919.65 | $2,329.59 | $3,134.04 | |
Cigna
| Facility | $7,361.84 | $12,576.48 | $22,546.18 |