| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.00 | $45.00 | $45.00 | |
BCBS
| Facility | $61.20 | $221.09 | $399.71 | |
BCBS
| Professional | $153.00 | $204.00 | $277.95 | |
Cigna
| Facility | $379.93 | $379.93 | $379.93 | |
Cigna
| Professional | $277.35 | $277.35 | $379.93 | |
Medica
| Facility | $45.00 | $45.00 | $90.00 | |
Medica
| Professional | $45.00 | $45.00 | $45.00 |