| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.50 | $137.47 | $137.47 | |
Aetna
| Professional | $137.47 | $137.47 | $2,929.00 | |
BCBS
| Facility | $1,517.61 | $2,196.16 | $3,798.60 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
Medica
| Facility | $137.47 | $232.32 | $1,528.00 | |
Medica
| Professional | $54.63 | $54.63 | $54.63 |