| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $676.08 | $758.58 | |
BCBS
| Facility | $13.49 | $14.79 | $22.39 | |
BCBS
| Professional | $295.12 | $371.54 | $812.83 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Cigna
| Professional | $457.09 | $537.03 | $891.25 | |
Medica
| Facility | $537.03 | $676.08 | $758.58 | |
Medica
| Professional | $537.03 | $537.03 | $537.03 |