| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.80 | $22.80 | $22.80 | |
Aetna
| Professional | $18.23 | $22.80 | $22.80 | |
BCBS
| Facility | $10.43 | $12.23 | $20.52 | |
Cigna
| Facility | $19.38 | $19.38 | $19.38 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 |