| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.63 | $4,756.50 | $6,115.50 | |
Aetna
| Professional | $16.29 | $62.58 | $65.91 | |
BCBS
| Facility | $25.46 | $93.63 | $153.15 | |
BCBS
| Professional | $29.64 | $30.40 | $60.61 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Medica
| Facility | $27.78 | $65.91 | $100.00 |