| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $1,366.20 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
BCBS
| Facility | $436.18 | $585.78 | $848.51 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medica
| Facility | $751.56 | $751.56 | $864.29 |