| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $796.45 | $796.45 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Facility | $10.08 | $23.81 | $58.89 | |
BCBS
| Professional | $27.30 | $33.60 | $79.38 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Medica
| Facility | $70.00 | $77.00 | $142.10 | |
Medica
| Professional | $70.00 | $70.00 | $70.00 |