| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.08 | $1,052.08 | $1,052.08 | |
Aetna
| Professional | $687.10 | $1,052.08 | $1,052.08 | |
BCBS
| Facility | $497.70 | $603.98 | $812.55 | |
Cigna
| Professional | $1,507.27 | $1,507.27 | $1,507.27 |