| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.50 | $39.20 | |
BCBS
| Facility | $32.00 | $75.59 | $186.96 | |
BCBS
| Professional | $26.00 | $32.00 | $75.59 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Medica
| Facility | $15.00 | $90.00 | $100.00 |