| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.98 | $238.98 | $238.98 | |
Aetna
| Professional | $238.98 | $238.98 | $238.98 | |
BCBS
| Facility | $32.26 | $35.75 | $35.75 | |
BCBS
| Professional | $303.83 | $357.47 | $357.47 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 |