| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.01 | $260.01 | $260.01 | |
Aetna
| Professional | $260.01 | $260.01 | $260.01 | |
BCBS
| Facility | $8,314.11 | $14,482.98 | $21,069.63 | |
Cigna
| Facility | $14,007.45 | $19,978.64 | $31,882.42 |