| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $755.47 | $755.47 | $755.47 | |
Aetna
| Professional | $87.57 | $125.82 | $755.47 | |
BCBS
| Facility | $101.39 | $101.39 | $488.84 | |
BCBS
| Professional | $69.90 | $80.48 | $104.51 | |
Cigna
| Professional | $89.00 | $244.20 | $512.00 | |
Medica
| Facility | $87.57 | $755.47 | $1,133.21 | |
Medica
| Professional | $614.00 | $614.00 | $614.00 |