| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Facility | $101.23 | $101.23 | $101.23 | |
Cigna
| Professional | $96.29 | $96.29 | $120.36 | |
Medica
| Facility | $25.00 | $26.25 | $135.00 | |
Medica
| Professional | $25.00 | $25.00 | $25.00 |