| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $1,380.38 | |
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
BCBS
| Facility | $724.44 | $912.01 | $2,290.87 | |
BCBS
| Professional | $2.04 | $724.44 | $794.33 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 |