| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.82 | $139.75 | $144.65 | |
BCBS
| Facility | $36.84 | $139.91 | $221.66 | |
BCBS
| Professional | $42.90 | $44.00 | $87.73 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Medica
| Facility | $14.82 | $144.65 | $206.85 |