| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.70 | $1,013.40 | $1,013.40 | |
Aetna
| Professional | $207.74 | $212.35 | $317.60 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 |