| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.70 | $19.70 | $28.84 | |
Aetna
| Professional | $19.70 | $20.43 | $28.84 | |
BCBS
| Facility | $15.10 | $15.10 | $16.61 | |
Cigna
| Facility | $20.43 | $20.43 | $22.58 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 |