| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $407.38 | $512.86 | |
BCBS
| Professional | $323.59 | $407.38 | $467.74 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
Medica
| Facility | $234.42 | $407.38 | $758.58 |