| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.82 | $361.23 | $540.00 | |
BCBS
| Facility | $154.00 | $204.37 | $340.10 | |
BCBS
| Professional | $549.33 | $549.33 | $549.33 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |