| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $30.20 | $33.88 | $245.47 | |
BCBS
| Facility | $3.39 | $7.76 | $16.22 | |
BCBS
| Professional | $9.77 | $12.88 | $24.55 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Medica
| Facility | $33.11 | $34.67 | $89.13 | |
Medica
| Professional | $19.95 | $19.95 | $123.03 |