| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $248.71 | $248.71 | |
Aetna
| Professional | $248.71 | $248.71 | $287.08 | |
BCBS
| Facility | $425.87 | $425.87 | $425.87 | |
BCBS
| Professional | $58.16 | $77.54 | $96.93 | |
Cigna
| Facility | $544.79 | $544.79 | $544.79 |