| 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 | $212.22 | $212.22 | $479.30 | |
BCBS
| Professional | $180.39 | $212.22 | $345.75 | |
Cigna
| Professional | $196.48 | $196.48 | $196.48 |