| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.00 | $460.00 | $460.00 | |
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
BCBS
| Facility | $129.60 | $508.84 | $847.91 | |
BCBS
| Professional | $108.54 | $129.60 | $150.66 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Medica
| Facility | $174.10 | $249.99 | $370.91 | |
Medica
| Professional | $690.53 | $690.53 | $690.53 |