| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $79.43 | $97.72 | $97.72 | |
BCBS
| Facility | $120.23 | $120.23 | $245.47 | |
BCBS
| Professional | $95.50 | $120.23 | $120.23 | |
Cigna
| Facility | $64.57 | $95.50 | $95.50 | |
Cigna
| Professional | $69.18 | $69.18 | $95.50 | |
Medica
| Facility | $79.43 | $97.72 | $162.18 |