| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.89 | $413.09 | $481.41 | |
Aetna
| Professional | $25.00 | $62.50 | $652.00 | |
BCBS
| Facility | $61.20 | $237.89 | $376.85 | |
BCBS
| Professional | $43.20 | $57.60 | $66.95 | |
Cigna
| Facility | $825.32 | $825.32 | $825.32 |