| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.82 | $18.82 | $25.50 | |
BCBS
| Facility | $9.75 | $10.36 | $15.54 | |
BCBS
| Professional | $4.20 | $4.20 | $4.20 | |
Cigna
| Facility | $6.60 | $37.65 | $66.58 | |
Medica
| Facility | $5.00 | $5.00 | $5.00 |