| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.00 | $81.00 | $87.00 | |
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
BCBS
| Facility | $38.72 | $43.17 | $101.44 | |
BCBS
| Professional | $42.61 | $50.04 | $68.16 | |
Cigna
| Professional | $64.36 | $64.36 | $64.36 |