| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $151.97 | |
Aetna
| Professional | $146.62 | $151.97 | $252.73 | |
BCBS
| Facility | $1,494.66 | $1,813.84 | $2,440.19 | |
BCBS
| Professional | $150.19 | $150.19 | $150.19 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $96.71 | $151.97 | $151.97 |