| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.17 | $23.17 | $23.17 | |
BCBS
| Facility | $101.23 | $101.23 | $101.23 | |
Cigna
| Professional | $70.50 | $70.50 | $88.13 | |
Medica
| Facility | $23.17 | $23.17 | $40.54 | |
Medica
| Professional | $3.13 | $3.13 | $3.13 |