| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $33.11 | $52.48 | |
Aetna
| Professional | $25.12 | $25.12 | $33.11 | |
BCBS
| Facility | $19.95 | $23.99 | $26.92 | |
BCBS
| Professional | $42.66 | $58.88 | $67.61 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 |