| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.65 | $111.04 | $360.00 | |
BCBS
| Facility | $99.01 | $99.01 | $320.66 | |
BCBS
| Professional | $77.97 | $99.01 | $115.10 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $106.65 | $111.04 | $216.50 |