| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.02 | $19.02 | $19.02 | |
Aetna
| Professional | $19.02 | $19.02 | $20.21 | |
BCBS
| Facility | $2,452.73 | $3,549.39 | $6,139.22 | |
Cigna
| Facility | $20.03 | $20.03 | $22.26 | |
Medica
| Facility | $19.02 | $31.38 | $37.09 | |
Medica
| Professional | $90.36 | $90.36 | $90.36 |