| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
BCBS
| Facility | $0.97 | $1.00 | $9.68 | |
BCBS
| Professional | $7.74 | $9.39 | $9.68 | |
Cigna
| Professional | $111.37 | $111.37 | $111.37 | |
Medica
| Facility | $100.00 | $100.00 | $169.00 |