| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.54 | $30.54 | $30.54 | |
Aetna
| Professional | $12.46 | $30.54 | $72.98 | |
BCBS
| Facility | $44.81 | $44.81 | $63.08 | |
BCBS
| Professional | $34.06 | $43.47 | $44.81 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Medica
| Facility | $30.54 | $30.54 | $72.98 |