| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.17 | $23.17 | $23.17 | |
BCBS
| Facility | $17.76 | $18.22 | $22.77 | |
BCBS
| Professional | $15.18 | $20.23 | $33.65 | |
Cigna
| Professional | $16.39 | $16.39 | $88.13 | |
Medica
| Facility | $5.00 | $23.17 | $78.09 | |
Medica
| Professional | $3.13 | $3.13 | $3.13 |