| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $794.33 | $794.33 | |
Aetna
| Professional | $794.33 | $794.33 | $794.33 | |
BCBS
| Facility | $407.38 | $549.54 | $870.96 | |
Cigna
| Professional | $269.15 | $269.15 | $269.15 | |
Medica
| Facility | $794.33 | $831.76 | $1,258.93 | |
United
| Facility | $588.84 | $588.84 | $630.96 |