| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.00 | $88.00 | $97.00 | |
BCBS
| Facility | $42.34 | $152.97 | $276.56 | |
BCBS
| Professional | $105.85 | $141.13 | $192.30 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $69.06 | $94.60 | |
Medica
| Facility | $80.00 | $97.00 | $97.00 |