| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.48 | $429.48 | $429.48 | |
Aetna
| Professional | $404.02 | $429.48 | $441.16 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $88.76 | $88.76 | $88.76 |