| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.64 | $102.14 | $113.64 | |
BCBS
| Facility | $64.00 | $167.00 | $206.00 | |
Cigna
| Facility | $72.37 | $89.00 | $121.50 |
Other Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.64 | $102.14 | $113.64 | |
BCBS
| Facility | $64.00 | $167.00 | $206.00 | |
Cigna
| Facility | $72.37 | $89.00 | $121.50 |
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