| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $8.77 | $20.75 | $51.32 | |
BCBS
| Professional | $23.79 | $29.28 | $69.17 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Medica
| Facility | $20.00 | $22.00 | $43.40 | |
Medica
| Professional | $20.00 | $20.00 | $22.50 |