| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Professional | $77.09 | $77.48 | $85.45 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Medica
| Facility | $4.00 | $4.00 | $6.80 |