| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $229.63 | |
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
BCBS
| Facility | $465.97 | $812.37 | $1,196.82 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $549.90 | $549.90 | $549.90 |