| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $371.86 | |
BCBS
| Facility | $130.79 | $241.03 | $470.97 | |
Cigna
| Facility | $253.88 | $253.88 | $253.88 | |
Health Alliance Plan
| Facility | $214.96 | $295.12 | $371.86 |