| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Facility | $7.59 | $7.59 | $7.59 | |
BCBS
| Professional | $72.44 | $75.86 | $79.43 | |
Cigna
| Facility | $9.77 | $64.57 | $128.82 | |
Cigna
| Professional | $83.18 | $114.82 | $141.25 |