| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.40 | $247.40 | $247.40 | |
Aetna
| Professional | $247.40 | $247.40 | $256.27 | |
BCBS
| Facility | $32.26 | $35.75 | $35.75 | |
BCBS
| Professional | $354.93 | $357.47 | $386.07 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $170.83 |