| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.21 | $6.21 | $6.21 | |
BCBS
| Facility | $20.43 | $80.22 | $133.68 | |
BCBS
| Professional | $14.05 | $20.43 | $40.74 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Medica
| Facility | $6.21 | $80.00 | $100.00 | |
Medica
| Professional | $0.72 | $0.72 | $0.72 |