| 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 | $426.58 | $645.65 | $851.14 | |
Cigna
| Professional | $269.15 | $269.15 | $269.15 | |
Medica
| Facility | $794.33 | $831.76 | $1,122.02 | |
United
| Facility | $346.74 | $1,174.90 | $2,041.74 |