| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.42 | $94.42 | $94.42 | |
Aetna
| Professional | $92.29 | $94.42 | $94.42 | |
BCBS
| Facility | $0.20 | $0.32 | $0.51 | |
Cigna
| Professional | $46.50 | $46.50 | $58.13 | |
Medica
| Facility | $40.13 | $94.42 | $100.00 |