| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $2,344.23 | $8,128.31 | |
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
BCBS
| Facility | $12.02 | $23.44 | $891.25 | |
BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 |