| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.29 | $605.00 | $763.67 | |
BCBS
| Facility | $141.61 | $529.79 | $871.98 | |
BCBS
| Professional | $142.80 | $190.40 | $238.00 | |
Cigna
| Facility | $219.54 | $297.02 | $459.95 | |
Medica
| Facility | $620.76 | $660.00 | $1,380.97 |