| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.71 | $242.71 | $242.71 | |
Aetna
| Professional | $242.71 | $242.71 | $311.20 | |
BCBS
| Facility | $142.56 | $246.03 | $360.09 | |
Cigna
| Facility | $263.39 | $263.39 | $263.39 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 |