| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.38 | $275.38 | $275.38 | |
Aetna
| Professional | $275.38 | $299.74 | $330.00 | |
BCBS
| Professional | $313.68 | $391.85 | $418.24 | |
Cigna
| Professional | $527.28 | $743.48 | $974.72 | |
Medica
| Facility | $275.38 | $299.74 | $506.56 |