| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.59 | $6,634.46 | $6,634.46 | |
Aetna
| Professional | 50 | $163.56 | $163.56 | $461.70 |
BCBS
| Professional | 50 | $356.06 | $505.19 | $905.19 |
Cigna
| Facility | $205.09 | $205.09 | $205.09 | |
Medica
| Facility | $146.57 | $276.60 | $515.67 | |
Medica
| Facility | 50 | $7,045.19 | $7,045.19 | $7,045.19 |