| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.87 | $25.87 | $345.00 | |
BCBS
| Facility | $103.92 | $130.02 | $175.87 | |
BCBS
| Professional | $19.57 | $19.57 | $19.57 | |
Cigna
| Facility | $120.00 | $120.00 | $165.00 | |
Cigna
| Professional | $18.77 | $87.66 | $127.00 | |
Medica
| Facility | $8.00 | $27.16 | $108.27 |