| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $1,086.86 | $1,562.72 | |
Aetna
| Professional | $314.18 | $314.18 | $348.57 | |
BCBS
| Facility | $604.96 | $1,103.00 | $1,821.16 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medica
| Facility | $314.18 | $530.96 | $1,005.08 |