| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.28 | $58.28 | $58.28 | |
Aetna
| Professional | $58.28 | $58.28 | $99.45 | |
BCBS
| Facility | $147.13 | $254.65 | $408.49 | |
Cigna
| Facility | $117.06 | $117.06 | $117.06 | |
Cigna
| Professional | $114.90 | $114.90 | $114.90 |