| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.49 | $254.49 | $254.49 | |
Aetna
| Professional | $22.39 | $212.83 | $247.90 | |
BCBS
| Facility | $9.59 | $11.64 | $15.66 | |
BCBS
| Professional | $3.62 | $3.62 | $3.62 | |
Cigna
| Facility | $3.95 | $19.42 | $76.56 |