| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $2,467.15 | |
Aetna
| Professional | $751.56 | $751.56 | $890.93 | |
BCBS
| Facility | $1,216.35 | $1,648.48 | $3,094.62 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medica
| Facility | $751.56 | $1,270.14 | $1,427.96 |