| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.71 | $141.71 | $141.71 | |
Aetna
| Professional | $33.33 | $33.33 | $411.60 | |
BCBS
| Facility | $3.36 | $12.14 | $21.95 | |
BCBS
| Professional | $8.40 | $11.20 | $15.26 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Medica
| Facility | $32.18 | $34.49 | $100.00 | |
Medica
| Professional | $20.00 | $20.00 | $122.28 |