| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $16.22 | $20.42 | |
BCBS
| Facility | $4.79 | $15.49 | $22.91 | |
BCBS
| Professional | $9.12 | $9.12 | $44.67 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
Medica
| Facility | $11.48 | $16.22 | $100.00 |