| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.11 | $1,014.59 | $1,813.20 | |
Aetna
| Professional | $150.00 | $839.19 | $1,010.42 | |
BCBS
| Facility | $657.71 | $657.71 | $657.71 | |
Cigna
| Facility | $1,012.86 | $1,012.86 | $1,012.86 | |
Cigna
| Professional | $240.52 | $240.52 | $610.54 |