| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.54 | $32.99 | $72.98 | |
Aetna
| Professional | $17.87 | $30.54 | $42.00 | |
BCBS
| Professional | $14.44 | $17.75 | $24.53 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 |