| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.00 | $329.09 | $1,705.00 | |
Aetna
| Professional | $100.90 | $121.70 | $121.70 | |
BCBS
| Professional | $196.87 | $198.35 | $233.35 | |
Cigna
| Professional | $88.13 | $110.16 | $119.90 | |
Medica
| Facility | $100.90 | $136.41 | $350.11 |