| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $681.00 | $681.00 | $726.40 | |
BCBS
| Facility | $29.57 | $112.30 | $177.90 | |
BCBS
| Professional | $67.98 | $90.65 | $439.08 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medica
| Facility | $14.11 | $100.00 | $100.00 | |
Medica
| Professional | $590.20 | $590.20 | $590.20 |