| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.59 | $9.60 | $1,285.75 | |
Aetna
| Professional | $9.60 | $9.60 | $22.86 | |
BCBS
| Facility | $76.67 | $76.67 | $76.67 | |
Cigna
| Facility | $69.73 | $69.73 | $69.73 | |
Cigna
| Professional | $60.02 | $195.53 | $195.53 |