| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $90.00 | $90.00 | |
Aetna
| Professional | $90.00 | $90.00 | $90.00 | |
BCBS
| Facility | $150.00 | $150.00 | $242.40 | |
BCBS
| Professional | $121.66 | $150.00 | $150.00 | |
Cigna
| Facility | $151.56 | $151.56 | $151.56 | |
Cigna
| Professional | $90.80 | $90.80 | $90.80 |