| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.85 | $344.85 | $686.97 | |
Aetna
| Professional | $299.83 | $344.85 | $365.38 | |
BCBS
| Professional | $44.41 | $53.43 | $53.83 | |
Cigna
| Professional | $109.45 | $110.54 | $139.00 | |
Medica
| Facility | $344.85 | $344.85 | $586.25 |