| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.00 | $1,142.80 | $1,654.63 | |
Aetna
| Professional | $717.57 | $751.56 | $890.93 | |
BCBS
| Facility | $137.90 | $541.41 | $902.18 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medica
| Facility | $717.57 | $789.33 | $1,144.63 |