| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Facility | $48.73 | $58.02 | $98.17 | |
BCBS
| Professional | $71.25 | $121.98 | $121.98 | |
Cigna
| Facility | $60.00 | $60.00 | $64.00 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 |