| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.45 | $313.36 | $313.36 | |
Aetna
| Professional | $596.79 | $792.00 | $1,559.20 | |
BCBS
| Facility | $53.26 | $209.10 | $348.43 | |
BCBS
| Professional | $86.07 | $114.76 | $143.44 | |
Cigna
| Facility | $172.40 | $218.09 | $262.76 | |
Medica
| Professional | $686.40 | $958.75 | $960.00 |