| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.39 | $32.39 | $34.67 | |
Aetna
| Professional | $30.54 | $30.54 | $42.00 | |
BCBS
| Professional | $20.14 | $24.46 | $28.78 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Medica
| Facility | $30.54 | $30.54 | $43.52 |