| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $336.05 | $1,690.00 | |
BCBS
| Facility | $75.08 | $75.08 | $75.08 | |
BCBS
| Professional | $65.00 | $65.00 | $65.00 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $344.25 | $405.00 | $413.10 |