| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.00 | $97.00 | $97.00 | |
Aetna
| Professional | $66.84 | $97.00 | $97.00 | |
BCBS
| Facility | $117.61 | $120.01 | $223.29 | |
BCBS
| Professional | $96.01 | $120.01 | $120.01 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $94.60 | $118.02 | |
Medica
| Facility | $66.84 | $97.00 | $163.93 |