| 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 | $10.47 | $12.02 | $12.76 | |
BCBS
| Professional | $11.93 | $11.93 | $12.04 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Medica
| Facility | $32.00 | $33.29 | $89.92 | |
Medica
| Professional | $67.48 | $67.48 | $67.48 |