| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.10 | $687.10 | $687.10 | |
Aetna
| Professional | $687.10 | $764.40 | $1,052.08 | |
BCBS
| Facility | $548.74 | $548.74 | $548.74 | |
BCBS
| Professional | $214.59 | $286.12 | $357.65 | |
Cigna
| Facility | $983.14 | $983.14 | $983.14 | |
Cigna
| Professional | $727.45 | $788.07 | $1,507.27 |