| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $275.42 | $933.25 | |
Aetna
| Professional | $158.49 | $346.74 | $346.74 | |
BCBS
| Facility | $10.47 | $40.74 | $77.62 | |
BCBS
| Professional | $0.02 | $0.02 | $512.86 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $6.92 | $6.92 | $6.92 |