| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.91 | $49.91 | $49.91 | |
Aetna
| Professional | $49.91 | $49.91 | $49.91 | |
BCBS
| Facility | $78.01 | $86.44 | $86.44 | |
BCBS
| Professional | $734.76 | $864.43 | $864.43 | |
Cigna
| Facility | $1,300.00 | $1,300.00 | $1,300.00 | |
Cigna
| Professional | $1,105.00 | $1,300.00 | $1,300.00 |