| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $3.00 | |
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
BCBS
| Facility | $39.86 | $44.31 | $50.89 | |
BCBS
| Professional | $45.45 | $45.45 | $45.90 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medica
| Facility | $3.00 | $3.12 | $8.43 | |
Medica
| Professional | $45.07 | $45.07 | $45.07 |