| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $1,262.61 | $1,262.61 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
BCBS
| Facility | $412.00 | $578.29 | $917.01 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medica
| Facility | $751.56 | $774.11 | $1,121.25 |