| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $23.15 | $23.15 | |
Aetna
| Professional | $5.00 | $23.15 | $23.15 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
Cigna
| Facility | $95.00 | $95.00 | $99.00 | |
Cigna
| Professional | $50.59 | $50.59 | $50.59 |