| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.79 | $69.80 | $618.15 | |
Aetna
| Professional | $56.38 | $69.80 | $114.73 | |
BCBS
| Facility | $78.52 | $78.52 | $78.52 | |
Cigna
| Facility | $115.96 | $115.96 | $115.96 | |
Cigna
| Professional | $1.62 | $1.62 | $1.62 |