| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.58 | $10.58 | $29.99 | |
Aetna
| Professional | $10.58 | $20.00 | $22.00 | |
BCBS
| Professional | $44.41 | $53.43 | $53.83 | |
Cigna
| Professional | $19.00 | $19.19 | $24.13 | |
Medica
| Facility | $10.58 | $10.58 | $17.98 |