| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.10 | $174.10 | $174.10 | |
Aetna
| Professional | $89.88 | $174.10 | $249.99 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
BCBS
| Professional | $183.82 | $183.82 | $216.91 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 |