| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,457.40 | $1,457.40 | $2,291.10 | |
Aetna
| Professional | $175.00 | $1,946.66 | $5,707.27 | |
BCBS
| Facility | $2,499.28 | $2,499.28 | $2,499.28 | |
Cigna
| Professional | $673.84 | $673.84 | $673.84 |