| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $417.11 | $417.11 | $417.11 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 | |
Medica
| Facility | $138.51 | $138.51 | $138.51 | |
Medica
| Professional | $134.12 | $134.12 | $134.12 |