| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
BCBS
| Facility | $49.08 | $192.70 | $321.11 | |
BCBS
| Professional | $37.08 | $53.94 | $107.53 | |
Cigna
| Professional | $81.59 | $81.59 | $81.59 | |
Medica
| Facility | $146.62 | $220.71 | $578.78 |