| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.88 | $95.00 | $255.28 | |
Aetna
| Professional | $74.02 | $87.35 | $87.35 | |
BCBS
| Facility | $43.29 | $45.57 | $45.57 | |
Cigna
| Professional | $87.12 | $87.12 | $87.12 | |
Medica
| Facility | $87.35 | $87.35 | $117.05 |