| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.34 | $596.34 | $894.51 | |
Aetna
| Professional | $596.34 | $596.34 | $657.14 | |
BCBS
| Facility | $800.27 | $800.27 | $800.27 | |
Cigna
| Facility | $37.47 | $81.01 | $632.64 | |
Cigna
| Professional | $416.30 | $416.30 | $520.38 |