| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.95 | $80.95 | $80.95 | |
Aetna
| Professional | $65.56 | $80.95 | $80.95 | |
BCBS
| Facility | $30.76 | $40.40 | $54.32 | |
Cigna
| Facility | $68.81 | $68.81 | $68.81 | |
Cigna
| Professional | $68.81 | $68.81 | $68.81 |