| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Professional | $47.65 | $47.65 | $47.65 | |
Cigna
| Professional | $34.22 | $117.89 | $117.89 | |
Medica
| Facility | $20.00 | $20.00 | $90.00 |