| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.48 | $53.48 | $53.48 | |
Aetna
| Professional | $42.78 | $44.39 | $53.48 | |
BCBS
| Facility | $46.30 | $64.20 | $109.93 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Medica
| Facility | $72.30 | $72.30 | $90.38 |