| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $27.86 | |
Aetna
| Professional | $14.82 | $14.82 | $144.65 | |
BCBS
| Facility | $1,343.50 | $2,119.07 | $3,372.21 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Medica
| Facility | $14.82 | $15.56 | $146.94 |