| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.10 | $174.10 | $174.10 | |
Aetna
| Professional | $173.90 | $174.10 | $253.70 | |
BCBS
| Facility | $259.58 | $443.10 | $654.74 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 |