| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
BCBS
| Facility | $95.00 | $95.00 | $183.35 | |
BCBS
| Professional | $47.30 | $95.00 | $95.00 | |
Cigna
| Facility | $102.76 | $102.76 | $152.56 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 |