| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.81 | $2.81 | $2.81 | |
Aetna
| Professional | $2.81 | $2.81 | $2.81 | |
BCBS
| Facility | $124.00 | $124.00 | $185.60 | |
BCBS
| Professional | $117.80 | $124.00 | $124.00 | |
Cigna
| Facility | $135.61 | $135.61 | $135.61 | |
Cigna
| Professional | $99.00 | $99.00 | $99.00 |