| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.76 | $463.76 | $695.64 | |
Aetna
| Professional | $450.67 | $463.76 | $495.73 | |
BCBS
| Facility | $800.27 | $800.27 | $800.27 | |
Cigna
| Facility | $37.47 | $81.01 | $632.64 | |
Cigna
| Professional | $109.45 | $109.45 | $136.81 |