| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.54 | $208.54 | $208.54 | |
Aetna
| Professional | $166.83 | $208.54 | $208.54 | |
BCBS
| Facility | $187.69 | $317.01 | $369.84 | |
Cigna
| Facility | $177.26 | $177.26 | $177.26 | |
Cigna
| Professional | $177.26 | $177.26 | $177.26 |