| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $2.02 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
BCBS
| Facility | $123.42 | $123.42 | $278.74 | |
BCBS
| Professional | $104.91 | $123.42 | $201.08 | |
Cigna
| Professional | $93.87 | $93.87 | $93.87 |