| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.00 | $80.00 | $94.96 | |
Aetna
| Professional | $80.00 | $80.00 | $80.00 | |
BCBS
| Facility | $97.00 | $117.71 | $158.36 | |
BCBS
| Professional | $180.50 | $180.50 | $230.77 | |
Cigna
| Facility | $39.76 | $132.22 | $340.36 |