| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.41 | $583.41 | $583.41 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
BCBS
| Facility | $1,032.63 | $1,257.33 | $1,696.40 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $360.74 | $360.74 | $360.74 |