| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
BCBS
| Facility | $30.00 | $58.60 | $67.76 | |
BCBS
| Professional | $25.50 | $30.00 | $48.88 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 |