| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $371.54 | $1,380.38 | |
Aetna
| Professional | $100.00 | $109.65 | $758.58 | |
BCBS
| Facility | $199.53 | $199.53 | $389.05 | |
BCBS
| Professional | $81.28 | $100.00 | $269.15 | |
Cigna
| Facility | $64.57 | $281.84 | $707.95 | |
Cigna
| Professional | $89.13 | $120.23 | $120.23 |