| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.00 | $179.00 | $218.00 | |
BCBS
| Facility | $110.00 | $216.48 | $311.00 | |
Cigna
| Facility | $93.00 | $229.00 | $290.00 | |
Health Alliance Plan
| Facility | $114.00 | $179.00 | $218.00 |