| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,763.36 | $1,763.36 | $1,763.36 | |
Aetna
| Professional | $1,763.36 | $1,957.89 | $2,117.23 | |
BCBS
| Professional | $2,433.53 | $2,862.98 | $2,862.98 | |
Cigna
| Professional | $2,373.25 | $2,373.25 | $2,984.18 |