| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $27.73 | |
Aetna
| Professional | $27.73 | $27.73 | $27.73 | |
BCBS
| Facility | $34.99 | $35.31 | $1,865.44 | |
Cigna
| Professional | $36.61 | $36.61 | $36.61 | |
Medica
| Facility | $27.73 | $30.60 | $90.97 |