| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $103.00 | $117.41 | $117.41 | |
Cigna
| Professional | $118.97 | $306.23 | $414.42 | |
Medica
| Facility | $385.50 | $385.50 | $385.50 | |
Medica
| Professional | $607.94 | $801.06 | $801.06 | |
Medica
| Professional | 25 | $284.07 | $284.07 | $284.07 |