| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.83 | $794.83 | $794.83 | |
Aetna
| Professional | $766.77 | $794.83 | $794.83 | |
BCBS
| Facility | $21,399.81 | $25,969.67 | $34,937.53 | |
Cigna
| Facility | $794.83 | $794.83 | $794.83 | |
Cigna
| Professional | $794.83 | $794.83 | $794.83 |