| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.27 | $2.27 | $2.27 | |
BCBS
| Facility | $4.00 | $4.00 | $4.00 | |
BCBS
| Professional | $4.00 | $4.00 | $4.00 | |
Cigna
| Professional | $6.50 | $6.50 | $6.50 | |
Medica
| Facility | $0.34 | $100.00 | $100.00 |