| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.70 | $480.70 | $480.70 | |
BCBS
| Facility | $0.98 | $142.41 | $838.34 | |
BCBS
| Professional | $113.94 | $142.41 | $142.41 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medica
| Facility | $116.70 | $455.40 | $3,521.93 |