| 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 | $1,216.35 | $1,648.48 | $3,094.62 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 | |
Medica
| Facility | $791.41 | $1,316.91 | $1,503.68 |