| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.67 | $220.67 | $220.67 | |
Aetna
| Professional | $176.54 | $220.67 | $220.67 | |
BCBS
| Facility | $96.78 | $140.69 | $252.93 | |
Cigna
| Facility | $141.22 | $187.57 | $235.38 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 |