| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.68 | $376.69 | $376.69 | |
Aetna
| Professional | $339.81 | $376.69 | $376.69 | |
BCBS
| Facility | $335.00 | $506.01 | $874.00 | |
BCBS
| Professional | $86.10 | $86.10 | $86.11 | |
Cigna
| Facility | $329.29 | $329.29 | $329.29 |