| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.92 | $85.92 | $192.11 | |
Aetna
| Professional | $81.51 | $105.00 | $282.00 | |
BCBS
| Professional | $221.00 | $261.30 | $263.25 | |
Cigna
| Professional | $105.73 | $106.79 | $134.27 | |
Medica
| Facility | $85.92 | $85.92 | $213.53 |