| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $4.88 | |
Aetna
| Professional | $4.88 | $4.88 | $10.76 | |
BCBS
| Professional | $1.00 | $1.00 | $1.65 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $5.56 | $5.56 | $5.56 |