| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.99 | $460.89 | $1,103.05 | |
Aetna
| Professional | $314.18 | $348.57 | $450.36 | |
BCBS
| Facility | $89.57 | $351.67 | $586.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medica
| Facility | $314.18 | $383.43 | $565.63 |