| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.75 | $237.75 | $237.75 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
BCBS
| Professional | $16.25 | $19.91 | $27.13 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $161.91 | $161.91 | $161.91 |