| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Professional | $43.69 | $52.82 | $58.25 | |
Cigna
| Facility | $106.30 | $106.30 | $122.25 | |
Cigna
| Professional | $67.88 | $68.55 | $84.84 | |
Medica
| Facility | $20.00 | $20.00 | $34.00 |