| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.40 | $391.40 | $785.43 | |
Aetna
| Professional | $289.39 | $391.40 | $756.50 | |
BCBS
| Professional | $578.00 | $683.40 | $688.50 | |
Cigna
| Professional | $280.01 | $282.81 | $355.62 | |
Medica
| Facility | $391.40 | $391.40 | $665.38 |