| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.56 | $187.56 | $187.57 | |
Aetna
| Professional | $176.54 | $187.57 | $187.57 | |
BCBS
| Facility | $245.51 | $373.22 | $509.01 | |
Cigna
| Facility | $141.22 | $187.57 | $187.57 | |
Cigna
| Professional | $187.57 | $187.57 | $258.63 |