| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $12.88 | $12.88 | $12.88 | |
BCBS
| Facility | $44.67 | $56.23 | $141.25 | |
BCBS
| Professional | $33.88 | $51.29 | $91.20 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 |