| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,535.50 | $4,301.00 | $9,482.50 | |
Aetna
| Professional | $1.78 | $2.67 | $7.01 | |
BCBS
| Facility | $51.30 | $77.73 | $92.47 | |
BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Facility | $67.53 | $67.53 | $67.53 | |
Cigna
| Professional | $18.20 | $18.20 | $18.20 |