| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.84 | $517.29 | $517.29 | |
Aetna
| Professional | $517.29 | $517.29 | $517.29 | |
BCBS
| Facility | $55.09 | $74.70 | $108.21 | |
Cigna
| Facility | $103.88 | $105.78 | $434.76 | |
Medica
| Facility | $465.57 | $517.29 | $543.16 |