| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.17 | $606.04 | $1,639.47 | |
Aetna
| Professional | $314.18 | $314.18 | $314.18 | |
BCBS
| Facility | $412.00 | $550.75 | $917.01 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medica
| Facility | $314.18 | $326.75 | $472.88 |