| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.48 | $53.48 | $74.87 | |
Aetna
| Professional | $53.48 | $53.48 | $53.48 | |
BCBS
| Facility | $21.97 | $30.42 | $50.14 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 |