| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
BCBS
| Facility | $5.04 | $5.04 | $5.54 | |
BCBS
| Professional | $10.50 | $14.07 | $16.80 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |