| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.35 | $501.35 | $1,061.57 | |
Aetna
| Professional | $360.00 | $450.67 | $850.05 | |
BCBS
| Professional | $360.40 | $426.12 | $429.30 | |
Cigna
| Professional | $109.45 | $110.54 | $139.00 | |
Medica
| Facility | $501.35 | $501.35 | $852.30 |