| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
BCBS
| Facility | $39.81 | $67.61 | $72.44 | |
BCBS
| Professional | $43.65 | $56.23 | $85.11 | |
Cigna
| Professional | $5.62 | $5.62 | $5.62 | |
Medica
| Facility | $6.03 | $6.03 | $9.55 | |
Medica
| Professional | $20.89 | $20.89 | $20.89 |