| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.85 | $30.85 | $30.85 | |
BCBS
| Facility | $39.47 | $40.47 | $50.60 | |
BCBS
| Professional | $31.88 | $42.50 | $70.66 | |
Cigna
| Professional | $102.75 | $130.13 | $130.13 | |
Medica
| Facility | $8.00 | $8.00 | $126.95 | |
Medica
| Professional | $8.00 | $8.00 | $8.00 |