| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $151.97 | |
Aetna
| Professional | $148.40 | $148.40 | $151.97 | |
BCBS
| Facility | $149.00 | $149.00 | $149.00 | |
BCBS
| Professional | $149.00 | $149.00 | $149.00 | |
Cigna
| Facility | $84.66 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 |