| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $38.94 | $39.47 | |
Aetna
| Professional | $18.11 | $18.11 | $18.11 | |
BCBS
| Facility | $197.52 | $256.58 | $402.21 | |
BCBS
| Professional | $203.55 | $203.55 | $318.09 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 |