| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.10 | $174.10 | $174.10 | |
Aetna
| Professional | $89.88 | $174.10 | $333.70 | |
BCBS
| Facility | $222.86 | $242.12 | $1,150.33 | |
BCBS
| Professional | $172.66 | $215.83 | $215.83 | |
Cigna
| Professional | $161.72 | $161.72 | $161.72 | |
Medica
| Facility | $89.88 | $174.10 | $577.34 | |
Medica
| Professional | $690.53 | $690.53 | $690.53 |