| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.31 | $26.31 | $26.31 | |
BCBS
| Facility | $24.88 | $25.52 | $31.90 | |
BCBS
| Professional | $20.10 | $26.80 | $44.56 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $126.00 | $145.26 | $157.50 | |
Medica
| Facility | $75.00 | $75.00 | $75.00 |