| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.38 | $226.21 | $226.22 | |
Aetna
| Professional | $226.22 | $226.22 | $226.22 | |
BCBS
| Facility | $451.07 | $468.42 | $468.42 | |
Cigna
| Facility | $410.87 | $410.87 | $410.87 | |
Cigna
| Professional | $211.75 | $348.00 | $348.00 |