| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.98 | $182.98 | $219.58 | |
BCBS
| Facility | $126.42 | $497.32 | $827.13 | |
BCBS
| Professional | $130.90 | $190.40 | $271.32 | |
Cigna
| Facility | $31.87 | $90.61 | $146.66 | |
Medica
| Facility | $132.88 | $182.98 | $245.00 | |
Medica
| Professional | $162.22 | $162.22 | $162.22 |