| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $114.82 | |
Aetna
| Professional | $104.71 | $104.71 | $104.71 | |
BCBS
| Facility | $60.26 | $60.26 | $60.26 | |
BCBS
| Professional | $97.72 | $112.20 | $144.54 | |
Cigna
| Facility | $64.57 | $141.25 | $141.25 | |
Cigna
| Professional | $117.49 | $117.49 | $147.91 |