| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.96 | $540.96 | $540.96 | |
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
BCBS
| Facility | $238.28 | $432.12 | $701.43 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $920.40 | $920.40 | $920.40 |