| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.22 | $642.88 | $1,343.02 | |
Aetna
| Professional | $23.00 | $300.22 | $317.60 | |
BCBS
| Facility | $195.00 | $195.00 | $195.00 | |
Cigna
| Facility | $279.54 | $279.54 | $279.54 | |
Cigna
| Professional | $116.76 | $116.76 | $178.12 |