| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $95.50 | $489.78 | |
Aetna
| Professional | $102.33 | $109.65 | $120.23 | |
BCBS
| Facility | $21.38 | $21.38 | $47.86 | |
BCBS
| Professional | $13.49 | $15.85 | $21.38 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 |