| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.68 | $105.00 | $120.00 | |
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 | $105.73 | $105.73 | $132.16 |