| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.72 | $96.72 | $96.72 | |
Aetna
| Professional | $96.72 | $96.72 | $96.72 | |
BCBS
| Facility | $127.11 | $165.85 | $323.39 | |
Cigna
| Professional | $118.88 | $118.88 | $148.59 | |
Medica
| Facility | $96.72 | $96.72 | $183.77 |