| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $20.09 | $37.15 | $37.15 | |
BCBS
| Facility | $20.00 | $20.00 | $31.30 | |
BCBS
| Professional | $17.14 | $18.05 | $23.37 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 |