| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.98 | $91.98 | $420.00 | |
Aetna
| Professional | $3.50 | $80.61 | $91.98 | |
BCBS
| Facility | $139.66 | $139.66 | $139.66 | |
Cigna
| Facility | $212.18 | $212.18 | $212.18 | |
Cigna
| Professional | $67.45 | $67.45 | $89.28 |