| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.38 | $50.38 | $50.38 | |
Aetna
| Professional | $50.38 | $50.38 | $50.38 | |
BCBS
| Facility | $33.74 | $56.34 | $87.57 | |
BCBS
| Professional | $3.69 | $3.69 | $3.93 | |
Cigna
| Facility | $44.34 | $50.78 | $301.22 |