| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.47 | $25.47 | $33.79 | |
Aetna
| Professional | $25.47 | $25.47 | $33.79 | |
BCBS
| Facility | $19.98 | $22.68 | $27.00 | |
BCBS
| Professional | $39.90 | $57.01 | $64.45 | |
Cigna
| Professional | $155.19 | $155.19 | $155.19 |