| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $501.19 | $501.19 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Facility | $389.05 | $389.05 | $398.11 | |
Cigna
| Professional | $331.13 | $389.05 | $616.60 | |
Medica
| Facility | $186.21 | $501.19 | $645.65 |