| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.00 | $81.00 | $81.00 | |
Aetna
| Professional | $81.00 | $81.00 | $81.00 | |
BCBS
| Facility | $41.07 | $41.07 | $79.27 | |
BCBS
| Professional | $6.31 | $40.00 | $41.07 | |
Cigna
| Professional | $44.00 | $46.30 | $46.30 |