| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.16 | $84.16 | $89.95 | |
BCBS
| Facility | $45.00 | $61.46 | $95.36 | |
Cigna
| Facility | $103.62 | $140.86 | $247.79 | |
Medica
| Facility | $41.91 | $45.50 | $163.91 | |
Medica
| Professional | $55.87 | $55.87 | $55.87 |