| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $20.09 | $108.62 | |
BCBS
| Facility | $32.43 | $63.34 | $73.23 | |
BCBS
| Professional | $27.57 | $32.43 | $32.43 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 |