| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $1,032.19 | $3,576.40 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
BCBS
| Facility | $664.58 | $1,147.33 | $1,842.94 | |
Cigna
| Professional | $360.74 | $360.74 | $684.89 |