| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.19 | $81.19 | $418.80 | |
Aetna
| Professional | $4.50 | $36.11 | $81.19 | |
BCBS
| Facility | $88.08 | $88.08 | $88.08 | |
Cigna
| Facility | $113.81 | $113.81 | $113.81 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 |