| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.74 | $1,348.74 | $1,348.74 | |
Aetna
| Professional | $1,348.74 | $1,500.78 | $1,692.17 | |
BCBS
| Professional | $1,859.36 | $2,187.48 | $2,187.48 | |
Cigna
| Professional | $1,996.77 | $1,996.77 | $2,510.79 |