| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.81 | $5.81 | $390.25 | |
BCBS
| Facility | $1,303.32 | $1,448.13 | $1,604.75 | |
Cigna
| Facility | $2,983.88 | $2,983.88 | $2,983.88 | |
Cigna
| Professional | $127.78 | $127.78 | $127.78 |