| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $7.94 | $19.95 | |
Aetna
| Professional | $3.98 | $7.94 | $19.95 | |
BCBS
| Facility | $19.05 | $19.05 | $36.31 | |
BCBS
| Professional | $5.89 | $23.99 | $47.86 | |
Cigna
| Facility | $4.90 | $50,118.72 | $53,703.18 |