| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.14 | $553.36 | $1,440.00 | |
Aetna
| Professional | $95.02 | $102.14 | $108.49 | |
BCBS
| Professional | $276.91 | $276.91 | $276.91 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Medica
| Facility | $70.20 | $102.14 | $172.75 |