| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $19.05 | $56.23 | |
BCBS
| Facility | $22.91 | $23.99 | $28.84 | |
BCBS
| Professional | $20.89 | $25.70 | $58.88 | |
Cigna
| Professional | $69.18 | $69.18 | $177.83 | |
Medica
| Facility | $9.33 | $19.05 | $56.23 | |
Medica
| Professional | $9.33 | $9.33 | $9.33 |