| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.52 | $785.65 | $785.65 | |
Aetna
| Professional | $785.65 | $785.65 | $1,151.54 | |
BCBS
| Facility | $67.94 | $189.07 | $338.39 | |
BCBS
| Professional | $383.22 | $390.88 | $680.00 | |
Cigna
| Facility | $122.67 | $349.33 | $542.22 |