| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.78 | $336.48 | $1,288.95 | |
Aetna
| Professional | $102.14 | $121.70 | $173.00 | |
BCBS
| Facility | $200.00 | $200.00 | $386.00 | |
BCBS
| Professional | $88.88 | $101.00 | $125.64 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 |