| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.02 | $57.02 | $57.02 | |
Aetna
| Professional | $6.57 | $6.57 | $7.26 | |
BCBS
| Facility | $0.96 | $1.01 | $1.01 | |
BCBS
| Professional | $15.72 | $18.48 | $18.48 | |
Cigna
| Professional | $201.47 | $212.93 | $255.12 | |
Medica
| Facility | $7.26 | $7.26 | $20.39 |