| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.41 | $791.41 | $791.41 | |
Aetna
| Professional | $791.41 | $791.41 | $791.41 | |
BCBS
| Facility | $412.00 | $578.29 | $917.01 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 | |
Medica
| Facility | $791.41 | $815.15 | $1,180.70 |