| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $676.08 | $724.44 | |
BCBS
| Facility | $26.92 | $87.10 | $131.83 | |
BCBS
| Professional | $91.20 | $91.20 | $436.52 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
Medica
| Facility | $14.13 | $100.00 | $100.00 | |
Medica
| Professional | $588.84 | $588.84 | $588.84 |