| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.48 | $108.58 | $628.48 | |
Aetna
| Professional | $90.48 | $90.48 | $97.33 | |
BCBS
| Facility | $243.14 | $326.52 | $472.99 | |
Cigna
| Facility | $107.02 | $107.02 | $107.02 | |
Medica
| Facility | $80.75 | $90.48 | $103.15 |