| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $118.13 | $130.08 | $130.79 | |
BCBS
| Facility | $231.42 | $243.60 | $1,403.61 | |
BCBS
| Professional | $194.88 | $236.29 | $243.60 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Medica
| Facility | $118.13 | $130.08 | $219.84 |