| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.48 | $53.48 | $53.48 | |
Aetna
| Professional | $42.78 | $42.78 | $53.48 | |
BCBS
| Professional | $47.35 | $47.35 | $47.35 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Medica
| Facility | $42.78 | $53.48 | $80.00 |