| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.22 | $24.22 | $92.59 | |
Aetna
| Professional | $22.79 | $24.22 | $24.22 | |
BCBS
| Facility | $2.14 | $4.18 | $4.83 | |
BCBS
| Professional | $1.82 | $2.14 | $3.49 | |
Cigna
| Professional | $4.04 | $4.04 | $4.04 |