| 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 | $37.04 | $37.22 | $42.53 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Medica
| Facility | $27.78 | $27.78 | $47.23 |