| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.88 | $296.88 | $600.25 | |
Aetna
| Professional | $203.99 | $224.38 | $307.42 | |
BCBS
| Professional | $408.00 | $482.40 | $486.00 | |
Cigna
| Professional | $254.00 | $256.54 | $322.57 | |
Medica
| Facility | $296.88 | $296.88 | $504.70 |