| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.00 | $95.00 | $95.00 | |
BCBS
| Facility | $190.00 | $191.00 | $191.00 | |
Cigna
| Facility | $135.00 | $135.00 | $140.00 |
Medical Social Services-General
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.00 | $95.00 | $95.00 | |
BCBS
| Facility | $190.00 | $191.00 | $191.00 | |
Cigna
| Facility | $135.00 | $135.00 | $140.00 |
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