| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
BCBS
| Facility | $601.20 | $601.20 | $1,357.81 | |
BCBS
| Professional | $511.02 | $601.20 | $979.48 | |
Cigna
| Professional | $191.26 | $191.26 | $191.26 |