| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.89 | $127.09 | $2,000.00 | |
Aetna
| Professional | $45.89 | $127.09 | $127.09 | |
BCBS
| Professional | $160.43 | $217.80 | $759.30 | |
Cigna
| Professional | $148.50 | $149.99 | $188.60 | |
Medica
| Facility | $45.89 | $127.09 | $891.42 |