| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $70.79 | $125.89 | |
Aetna
| Professional | $66.07 | $79.43 | $125.89 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $81.28 | $81.28 | $81.28 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $53,703.18 | |
Cigna
| Professional | $25.12 | $25.12 | $25.12 |