| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.20 | $853.07 | $3,395.00 | |
Aetna
| Professional | $35.74 | $60.88 | $60.88 | |
BCBS
| Facility | $38.35 | $51.50 | $74.59 | |
Cigna
| Professional | $45.06 | $45.06 | $45.06 | |
Medica
| Facility | $12.34 | $60.88 | $67.62 |