| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.22 | $19.22 | $36.77 | |
Aetna
| Professional | $19.22 | $24.03 | $24.03 | |
BCBS
| Facility | $21.02 | $21.13 | $21.40 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 | |
Medica
| Facility | $19.22 | $19.22 | $57.66 |