| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $234.42 | $295.12 | |
Aetna
| Professional | $114.82 | $134.90 | $186.21 | |
BCBS
| Facility | $107.15 | $257.04 | $512.86 | |
BCBS
| Professional | $93.33 | $123.03 | $194.98 | |
Cigna
| Professional | $288.40 | $316.23 | $363.08 | |
Medica
| Facility | $123.03 | $138.04 | $218.78 | |
Medica
| Professional | $128.82 | $660.69 | $660.69 |