| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.01 | $36.01 | $36.01 | |
Aetna
| Professional | $33.57 | $36.01 | $38.78 | |
BCBS
| Professional | $22.50 | $22.50 | $22.50 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $63.98 | $63.98 | $63.98 |