| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.81 | $173.81 | $173.81 | |
Aetna
| Professional | $42.78 | $42.78 | $45.46 | |
BCBS
| Facility | $45.46 | $47.24 | $49.92 | |
BCBS
| Professional | $48.13 | $48.13 | $48.13 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 |