| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.21 | $1.21 | $1.21 | |
Aetna
| Professional | $1.21 | $1.21 | $1.42 | |
BCBS
| Facility | $98.39 | $98.39 | $189.89 | |
BCBS
| Professional | $39.36 | $68.88 | $98.39 | |
Cigna
| Professional | $0.88 | $0.88 | $0.88 |