| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $75.00 | |
Aetna
| Professional | $75.00 | $75.00 | $75.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Cigna
| Professional | $98.27 | $98.27 | $98.27 | |
Medica
| Facility | $75.00 | $75.00 | $126.75 |