| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.60 | $26.40 | $250.00 | |
BCBS
| Facility | $7.20 | $26.01 | $47.03 | |
BCBS
| Professional | $18.00 | $24.00 | $39.90 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Medica
| Facility | $100.00 | $100.00 | $145.87 |