| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.51 | $22.51 | $22.51 | |
Aetna
| Professional | $9.36 | $22.51 | $22.51 | |
BCBS
| Facility | $61.58 | $61.58 | $61.58 | |
BCBS
| Professional | $4.75 | $4.75 | $5.49 | |
Cigna
| Facility | $77.00 | $77.00 | $79.50 | |
Cigna
| Professional | $20.89 | $20.89 | $192.19 |