| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.85 | $30.85 | $30.85 | |
BCBS
| Facility | $101.23 | $101.23 | $101.23 | |
Cigna
| Professional | $102.75 | $102.75 | $128.44 | |
Medica
| Facility | $8.00 | $32.39 | $126.95 | |
Medica
| Professional | $8.00 | $8.00 | $8.00 |