| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.72 | $131.72 | $131.72 | |
Aetna
| Professional | $106.45 | $131.72 | $132.65 | |
BCBS
| Professional | $24.65 | $41.03 | $44.17 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $56.76 | $56.76 | $56.76 |