| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $213.80 | $758.58 | |
Aetna
| Professional | $16.98 | $30.20 | $41.69 | |
BCBS
| Professional | $13.18 | $17.78 | $27.54 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 |