| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.80 | $759.80 | $1,563.28 | |
Aetna
| Professional | $759.80 | $1,046.84 | $1,620.00 | |
BCBS
| Professional | $138.33 | $146.75 | $172.22 | |
Cigna
| Professional | $662.87 | $662.87 | $973.12 | |
Medica
| Facility | $759.80 | $785.65 | $1,291.66 |