| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.62 | $76.62 | $76.62 | |
Aetna
| Professional | $63.28 | $69.29 | $69.29 | |
BCBS
| Facility | $48.58 | $48.58 | $59.51 | |
BCBS
| Professional | $41.75 | $53.13 | $68.31 | |
Cigna
| Facility | $127.68 | $127.68 | $127.68 | |
Cigna
| Professional | $104.92 | $104.92 | $104.92 | |
Medica
| Facility | $63.28 | $69.29 | $85.81 |