| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.50 | $85.50 | $85.50 | |
Aetna
| Professional | $85.50 | $85.50 | $85.50 | |
BCBS
| Professional | $18.47 | $32.00 | $42.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $42.24 | $42.24 | $42.24 |