| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $38.02 | |
Aetna
| Professional | $28.84 | $28.84 | $37.15 | |
BCBS
| Facility | $263.03 | $331.13 | $831.76 | |
BCBS
| Professional | $79.43 | $346.74 | $416.87 | |
Cigna
| Facility | $64.57 | $724.44 | $1,737.80 | |
Cigna
| Professional | $257.04 | $870.96 | $870.96 |