| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.00 | $21.00 | $126.71 | |
BCBS
| Facility | $63.50 | $81.51 | $186.71 | |
BCBS
| Professional | $123.82 | $123.82 | $123.82 | |
Cigna
| Facility | $85.36 | $106.28 | $186.83 | |
Cigna
| Professional | $62.78 | $62.78 | $78.47 |