| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.70 | $275.70 | $275.70 | |
Aetna
| Professional | $264.83 | $275.70 | $275.70 | |
BCBS
| Facility | $32.26 | $35.75 | $35.75 | |
BCBS
| Professional | $303.83 | $357.47 | $357.47 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $226.63 |