| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.83 | $794.83 | $794.83 | |
Aetna
| Professional | $776.12 | $776.12 | $794.83 | |
BCBS
| Facility | $779.24 | $779.24 | $779.24 | |
BCBS
| Professional | $779.24 | $779.24 | $779.24 | |
Cigna
| Facility | $676.91 | $794.83 | $794.83 | |
Cigna
| Professional | $794.83 | $794.83 | $794.83 |