| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.46 | $24.46 | $24.46 | |
BCBS
| Facility | $136.78 | $171.12 | $231.48 | |
Cigna
| Facility | $120.00 | $120.00 | $160.00 | |
Cigna
| Professional | $58.98 | $95.16 | $127.00 | |
Medica
| Facility | $8.00 | $25.68 | $117.55 |