| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.61 | $80.61 | $1,829.01 | |
Aetna
| Professional | $57.79 | $60.13 | $80.61 | |
BCBS
| Professional | $141.57 | $166.80 | $182.57 | |
Cigna
| Professional | $67.45 | $101.25 | $126.56 | |
Medica
| Facility | $80.61 | $80.61 | $149.13 |