| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $23.15 | $80.35 | |
Aetna
| Professional | $5.00 | $23.15 | $37.63 | |
BCBS
| Facility | $34.47 | $34.47 | $42.46 | |
BCBS
| Professional | $18.70 | $22.00 | $22.00 | |
Cigna
| Facility | $99.00 | $99.00 | $112.50 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 |