| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $20.38 | |
Aetna
| Professional | $20.38 | $20.38 | $21.66 | |
BCBS
| Facility | $2,452.73 | $3,549.39 | $6,139.22 | |
Cigna
| Facility | $20.20 | $20.20 | $23.65 | |
Medica
| Facility | $20.38 | $33.63 | $39.74 | |
Medica
| Professional | $96.82 | $96.82 | $96.82 |