| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.78 | $27.78 | $52.22 | |
Aetna
| Professional | $27.78 | $27.78 | $46.63 | |
BCBS
| Facility | $89.64 | $89.64 | $89.64 | |
BCBS
| Professional | $1.93 | $1.93 | $35.00 | |
Cigna
| Facility | $63.79 | $63.79 | $64.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 |