| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.12 | $55.53 | $69.98 | |
BCBS
| Facility | $25.78 | $97.90 | $155.08 | |
BCBS
| Professional | $17.60 | $25.60 | $169.63 | |
Cigna
| Facility | $195.83 | $195.83 | $195.83 | |
Medica
| Facility | $49.12 | $54.03 | $70.23 |