| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.69 | $104.69 | $104.69 | |
Aetna
| Professional | $102.23 | $104.69 | $104.69 | |
BCBS
| Facility | $102.03 | $121.48 | $205.54 | |
BCBS
| Professional | $37.97 | $44.30 | $59.45 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $62.16 | $62.16 | $62.16 |