| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
BCBS
| Facility | $61.88 | $61.88 | $61.88 | |
BCBS
| Professional | $3.25 | $4.00 | $9.44 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Medica
| Facility | $32.00 | $35.20 | $69.44 | |
Medica
| Professional | $32.00 | $32.00 | $67.48 |