| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Facility | $12.00 | $43.35 | $78.38 | |
BCBS
| Professional | $30.00 | $40.00 | $54.50 | |
Cigna
| Professional | $7.65 | $7.65 | $30.75 | |
Medica
| Facility | $25.00 | $25.00 | $90.00 | |
Medica
| Professional | $25.00 | $25.00 | $94.50 |