| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Facility | $6.77 | $7.50 | $7.50 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $129.60 | $129.60 | $129.60 | |
Cigna
| Professional | $83.06 | $83.06 | $83.06 |