| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $27.73 | |
Aetna
| Professional | $27.73 | $27.73 | $27.73 | |
BCBS
| Facility | $45.44 | $47.18 | $47.18 | |
Cigna
| Facility | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $24.76 | $24.76 | $24.76 |