| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.35 | $263.35 | $263.35 | |
Aetna
| Professional | $96.72 | $96.72 | $126.07 | |
BCBS
| Facility | $45.83 | $89.51 | $103.51 | |
BCBS
| Professional | $45.83 | $45.83 | $74.67 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 |