| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.84 | $66.84 | $92.40 | |
Aetna
| Professional | $66.84 | $80.00 | $97.00 | |
BCBS
| Professional | $71.40 | $84.42 | $86.52 | |
Cigna
| Professional | $69.06 | $69.06 | $69.06 | |
Medica
| Facility | $66.84 | $66.84 | $97.00 |