| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.46 | $24.46 | $24.46 | |
BCBS
| Professional | $125.41 | $203.03 | $287.92 | |
Cigna
| Professional | $76.13 | $76.13 | $95.16 | |
Medica
| Facility | $8.00 | $25.68 | $117.55 | |
Medica
| Professional | $8.00 | $8.00 | $8.00 |