| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $234.48 | $404.13 | $625.00 | |
BCBS
| Facility | $272.80 | $272.80 | $300.08 | |
BCBS
| Professional | $365.15 | $365.15 | $436.00 | |
Cigna
| Professional | $104.51 | $104.51 | $104.51 | |
Medica
| Facility | $234.48 | $366.25 | $763.80 |