| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.82 | $131.82 | $131.82 | |
Aetna
| Professional | $105.46 | $131.82 | $131.82 | |
BCBS
| Facility | $79.15 | $728.61 | $850.05 | |
Cigna
| Facility | $112.05 | $112.05 | $112.05 | |
Cigna
| Professional | $112.05 | $112.05 | $112.05 |