| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $37.15 | $81.28 | |
Aetna
| Professional | $19.05 | $37.15 | $37.15 | |
BCBS
| Facility | $15.85 | $19.95 | $50.12 | |
BCBS
| Professional | $5.37 | $18.20 | $25.12 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 |