| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.28 | $59.28 | $59.28 | |
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
BCBS
| Facility | $50.54 | $56.00 | $56.00 | |
BCBS
| Professional | $476.00 | $560.00 | $560.00 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 |