| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.78 | $678.78 | $678.78 | |
Aetna
| Professional | $678.78 | $678.78 | $678.78 | |
BCBS
| Facility | $93.13 | $103.19 | $103.19 | |
BCBS
| Professional | $1,031.90 | $1,051.47 | $1,084.14 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $536.83 |