| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.00 | $179.00 | $218.00 | |
BCBS
| Facility | $93.75 | $210.00 | $421.95 | |
Cigna
| Facility | $125.00 | $165.00 | $212.00 | |
Health Alliance Plan
| Facility | $114.00 | $179.00 | $218.00 |