| 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
| Professional | $11.20 | $13.55 | $14.94 | |
Cigna
| Facility | $211.43 | $211.43 | $243.14 | |
Cigna
| Professional | $18.38 | $22.97 | $23.34 | |
Medica
| Facility | $20.00 | $20.00 | $34.00 |