| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.00 | $26.00 | $26.00 | |
Aetna
| Professional | $26.00 | $26.00 | $26.00 | |
BCBS
| Facility | $98.39 | $98.39 | $189.89 | |
BCBS
| Professional | $6.26 | $52.33 | $98.39 | |
Cigna
| Professional | $65.31 | $65.36 | $65.36 |