| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.20 | $2,044.80 | $3,565.80 | |
Aetna
| Professional | $85.00 | $692.20 | $798.38 | |
BCBS
| Facility | $500.52 | $500.52 | $500.52 | |
BCBS
| Professional | $163.87 | $218.49 | $273.11 | |
Cigna
| Facility | $766.65 | $766.65 | $766.65 | |
Cigna
| Professional | $291.51 | $291.51 | $482.96 |