| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.85 | $429.80 | $869.15 | |
Aetna
| Professional | $262.08 | $293.39 | $415.38 | |
BCBS
| Facility | $65.59 | $257.56 | $429.19 | |
BCBS
| Professional | $54.94 | $65.59 | $76.26 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Medica
| Facility | $270.30 | $293.39 | $397.34 | |
Medica
| Professional | $476.77 | $476.77 | $476.77 |