| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.46 | $45.46 | $45.46 | |
Aetna
| Professional | $43.85 | $45.46 | $45.46 | |
BCBS
| Facility | $702.39 | $852.39 | $1,146.73 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 |