| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.20 | $3.20 | $31.13 | |
BCBS
| Facility | $15.36 | $26.11 | $26.11 | |
BCBS
| Professional | $16.80 | $19.20 | $22.32 | |
Cigna
| Professional | $10.80 | $13.93 | $13.93 | |
Medica
| Facility | $3.20 | $31.13 | $46.38 | |
Medica
| Professional | $9.00 | $9.00 | $9.00 |