| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Facility | $3.78 | $8.92 | $22.06 | |
BCBS
| Professional | $3.07 | $3.78 | $8.92 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Medica
| Facility | $8.00 | $8.80 | $17.36 |