| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.50 | $124.72 | $4,215.64 | |
BCBS
| Facility | $0.86 | $0.86 | $0.86 | |
BCBS
| Professional | $0.86 | $0.86 | $0.86 | |
Cigna
| Professional | $1.21 | $1.21 | $1.21 | |
Medica
| Facility | $0.50 | $0.53 | $0.88 | |
Medica
| Professional | $2.62 | $2.62 | $2.62 |