| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.76 | $130.76 | $130.76 | |
Aetna
| Professional | $126.84 | $133.16 | $172.28 | |
BCBS
| Facility | $638.38 | $865.17 | $1,624.14 | |
Cigna
| Professional | $286.13 | $303.29 | $363.38 | |
Medica
| Facility | $130.76 | $202.68 | $248.44 | |
Medica
| Professional | $661.43 | $661.43 | $661.43 |