| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.11 | $36.11 | $36.11 | |
Aetna
| Professional | $36.11 | $36.11 | $36.11 | |
BCBS
| Professional | $82.68 | $97.41 | $106.62 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Medica
| Facility | $64.95 | $64.95 | $120.16 |