| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.16 | $22.16 | $22.16 | |
BCBS
| Facility | $17.76 | $18.22 | $22.77 | |
BCBS
| Professional | $15.18 | $20.23 | $33.65 | |
Cigna
| Professional | $113.63 | $228.00 | $228.00 | |
Medica
| Facility | $8.00 | $22.16 | $78.50 | |
Medica
| Professional | $5.23 | $5.23 | $5.23 |