| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $143.04 | $178.80 | |
Aetna
| Professional | $143.04 | $143.04 | $178.80 | |
BCBS
| Facility | $63.31 | $74.48 | $79.75 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Medica
| Facility | $66.86 | $143.04 | $213.40 |