| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.74 | $29.74 | $29.74 | |
Aetna
| Professional | $29.74 | $29.74 | $37.17 | |
BCBS
| Facility | $280.00 | $304.61 | $515.37 | |
BCBS
| Professional | $341.25 | $350.00 | $350.00 | |
Cigna
| Facility | $407.59 | $407.59 | $1,195.85 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 |