| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.13 | $404.13 | $404.13 | |
Aetna
| Professional | $386.51 | $404.13 | $448.97 | |
BCBS
| Professional | $332.50 | $350.00 | $450.00 | |
Cigna
| Facility | $284.31 | $284.31 | $284.31 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 |