| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Professional | $49.11 | $49.11 | $49.11 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Medica
| Facility | $70.00 | $70.00 | $86.10 |