| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.00 | $51.00 | $8,500.00 | |
Aetna
| Professional | $51.00 | $51.00 | $51.00 | |
BCBS
| Professional | $212.51 | $224.48 | $264.08 | |
Cigna
| Professional | $223.95 | $332.17 | $468.36 | |
Medica
| Facility | $51.00 | $51.00 | $153.00 |