| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $585.04 | |
Aetna
| Professional | $585.04 | $585.04 | $603.50 | |
BCBS
| Facility | $668.29 | $1,201.34 | $1,723.75 | |
Cigna
| Facility | $603.87 | $603.87 | $603.87 | |
Cigna
| Professional | $1,000.73 | $1,000.73 | $1,000.73 |