| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.46 | $19.46 | $33.08 | |
Aetna
| Professional | $19.46 | $19.46 | $19.46 | |
BCBS
| Facility | $13.08 | $20.63 | $32.72 | |
Cigna
| Facility | $20.43 | $20.43 | $20.43 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 | |
Medica
| Facility | $19.46 | $19.80 | $93.55 |