| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $52.94 | $52.94 | |
BCBS
| Facility | $16.00 | $51.82 | $99.70 | |
BCBS
| Professional | $11.70 | $15.60 | $19.50 | |
Cigna
| Professional | $50.00 | $64.97 | $84.89 | |
Medica
| Facility | $0.85 | $132.00 | $132.00 |