| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.90 | $601.00 | $759.00 | |
Aetna
| Professional | $118.11 | $141.40 | $168.90 | |
BCBS
| Facility | $195.00 | $262.95 | $391.46 | |
Cigna
| Professional | $303.29 | $303.29 | $363.38 | |
Medica
| Facility | $119.78 | $168.90 | $293.64 | |
Medica
| Professional | $661.43 | $661.43 | $661.43 |