| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $15.14 | $15.14 | |
Aetna
| Professional | $6.03 | $15.14 | $15.14 | |
BCBS
| Facility | $23.44 | $24.55 | $28.18 | |
BCBS
| Professional | $19.95 | $21.38 | $223.87 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $26.30 | $26.30 | $26.30 |