| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.78 | $27.78 | $27.78 | |
Aetna
| Professional | $27.78 | $27.78 | $27.78 | |
BCBS
| Facility | $37.64 | $41.82 | $1,865.44 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Medica
| Facility | $27.78 | $46.95 | $122.54 |