| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $19.05 | $19.05 | |
Aetna
| Professional | $8.91 | $19.05 | $19.05 | |
BCBS
| Facility | $19.95 | $22.91 | $26.92 | |
BCBS
| Professional | $16.98 | $19.95 | $30.20 | |
Cigna
| Facility | $64.57 | $275.42 | $338.84 | |
Cigna
| Professional | $69.18 | $141.25 | $177.83 |