| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
BCBS
| Facility | $41.15 | $161.57 | $269.24 | |
BCBS
| Professional | $68.26 | $91.01 | $113.76 | |
Cigna
| Facility | $189.46 | $215.71 | $266.85 | |
Medica
| Facility | $85.74 | $3,000.00 | $4,410.00 |