| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $20.00 | $32.00 | |
BCBS
| Facility | $14.56 | $15.16 | $80.09 | |
BCBS
| Professional | $12.13 | $14.71 | $15.16 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medica
| Facility | $8.50 | $36.04 | $100.00 | |
Medica
| Professional | $8.40 | $10.81 | $98.94 |