| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $677.60 | $677.60 | $677.60 | |
Aetna
| Professional | $540.96 | $677.60 | $677.60 | |
BCBS
| Facility | $405.89 | $405.89 | $405.89 | |
BCBS
| Professional | $70.98 | $94.65 | $118.31 | |
Cigna
| Facility | $543.49 | $543.49 | $543.49 |