| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.91 | $48.91 | $64.95 | |
Aetna
| Professional | $33.83 | $33.83 | $65.91 | |
BCBS
| Facility | $89.64 | $89.64 | $89.64 | |
BCBS
| Professional | $6.17 | $6.68 | $6.68 | |
Cigna
| Facility | $63.79 | $63.79 | $64.00 |