| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.32 | $4,387.50 | $7,934.82 | |
Aetna
| Professional | $402.32 | $402.32 | $4,972.50 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Cigna
| Professional | $1,054.93 | $1,054.93 | $1,054.93 |