| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2.78 | $4.72 | $4.72 | |
BCBS
| Professional | $63.00 | $72.00 | $83.70 | |
Cigna
| Professional | $30.00 | $38.69 | $38.69 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $75.70 | $75.70 | $75.70 |