| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.09 | $78.09 | $78.09 | |
Aetna
| Professional | $19.22 | $19.22 | $20.43 | |
BCBS
| Facility | $20.43 | $21.22 | $22.42 | |
BCBS
| Professional | $21.63 | $21.63 | $21.63 | |
Cigna
| Facility | $20.43 | $20.43 | $20.43 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 |