| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $683.82 | $1,615.53 | $3,995.24 | |
Cigna
| Professional | $872.64 | $872.64 | $1,097.28 | |
Medica
| Facility | $960.00 | $2,400.00 | $2,400.00 | |
Medica
| Professional | $3,160.00 | $3,160.00 | $3,160.00 |