| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $741.31 | $741.31 | $741.31 | |
BCBS
| Professional | $1,778.28 | $1,778.28 | $1,778.28 | |
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
Cigna
| Professional | $416.87 | $416.87 | $416.87 |