| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.72 | $308.72 | $308.72 | |
Aetna
| Professional | $308.72 | $308.72 | $620.86 | |
BCBS
| Facility | $398.71 | $652.22 | $1,228.01 | |
Cigna
| Facility | $515.52 | $515.52 | $515.52 | |
Cigna
| Professional | $604.84 | $604.84 | $604.84 |