| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.00 | $146.63 | $336.60 | |
BCBS
| Professional | $1,200.00 | $1,200.00 | $1,200.00 | |
Cigna
| Facility | $291.93 | $676.43 | $990.30 | |
Medica
| Facility | $541.02 | $541.02 | $541.02 |