| 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 | $97.80 | $97.80 | $220.88 | |
BCBS
| Professional | $83.13 | $97.80 | $159.34 | |
Cigna
| Professional | $309.58 | $309.58 | $309.58 |