| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.62 | $503.29 | $2,899.00 | |
BCBS
| Professional | $79.95 | $79.95 | $79.95 | |
Cigna
| Facility | $390.00 | $390.00 | $397.80 | |
Cigna
| Professional | $331.50 | $390.00 | $390.00 | |
Medica
| Facility | $185.64 | $503.29 | $646.11 |