| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $245.47 | $245.47 | |
Aetna
| Professional | $32.36 | $32.36 | $32.36 | |
BCBS
| Facility | $7.08 | $7.08 | $7.08 | |
BCBS
| Professional | $7.08 | $7.08 | $7.08 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 | |
Medica
| Facility | $32.36 | $32.36 | $89.13 |