| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.94 | $346.00 | $622.10 | |
BCBS
| Facility | $45.00 | $61.46 | $95.36 | |
Cigna
| Facility | $107.35 | $120.97 | $247.79 | |
Medica
| Facility | $98.74 | $98.74 | $163.91 | |
Medica
| Professional | $162.90 | $162.90 | $162.90 |