| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $87.10 | |
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Facility | $43.65 | $54.95 | $138.04 | |
BCBS
| Professional | $1.23 | $43.65 | $46.77 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 |