| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.54 | $350.54 | $747.79 | |
Aetna
| Professional | $315.43 | $455.00 | $500.50 | |
BCBS
| Professional | $408.00 | $482.40 | $486.00 | |
Cigna
| Professional | $2.48 | $2.50 | $3.15 | |
Medica
| Facility | $350.54 | $350.54 | $595.91 |