| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.26 | $7.26 | $7.26 | |
Aetna
| Professional | $7.26 | $7.26 | $17.50 | |
BCBS
| Facility | $17.00 | $17.00 | $81.96 | |
BCBS
| Professional | $28.05 | $34.00 | $39.53 | |
Cigna
| Professional | $112.49 | $147.25 | $212.93 | |
Medica
| Facility | $7.26 | $7.62 | $14.74 | |
Medica
| Professional | $37.00 | $37.00 | $37.00 |