| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.59 | $10.59 | $10.59 | |
BCBS
| Facility | $101.23 | $101.23 | $101.23 | |
BCBS
| Professional | $66.70 | $108.01 | $153.15 | |
Cigna
| Professional | $29.25 | $29.25 | $36.56 | |
Medica
| Facility | $8.00 | $11.12 | $90.00 | |
Medica
| Professional | $8.00 | $8.00 | $8.00 |