| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.67 | $77.67 | $77.67 | |
Aetna
| Professional | $77.67 | $79.34 | $91.93 | |
BCBS
| Facility | $142.25 | $163.16 | $167.35 | |
Cigna
| Professional | $46.50 | $46.50 | $58.13 | |
Medica
| Facility | $55.39 | $79.34 | $95.25 |