| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $22.91 | $22.91 | |
Aetna
| Professional | $5.01 | $22.91 | $22.91 | |
BCBS
| Facility | $18.20 | $19.50 | $23.44 | |
BCBS
| Professional | $18.62 | $21.88 | $27.54 | |
Cigna
| Facility | $93.33 | $114.82 | $151.36 | |
Cigna
| Professional | $16.22 | $70.79 | $89.13 |