| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.77 | $973.77 | $973.77 | |
Aetna
| Professional | $973.77 | $973.77 | $1,194.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Cigna
| Facility | $644.74 | $644.74 | $644.74 | |
Cigna
| Professional | $175.99 | $175.99 | $175.99 |