| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.00 | $97.00 | $97.00 | |
Aetna
| Professional | $80.00 | $97.00 | $97.00 | |
BCBS
| Facility | $307.77 | $335.79 | $356.17 | |
BCBS
| Professional | $333.30 | $333.30 | $333.30 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $94.60 | $94.60 | |
Medica
| Facility | $97.00 | $97.00 | $111.55 |