| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $218.78 | $218.78 | $218.78 | |
BCBS
| Professional | $54.95 | $83.18 | $190.55 | |
Cigna
| Facility | $64.57 | $64.57 | $50,118.72 | |
Cigna
| Professional | $1.07 | $1.07 | $1.07 |