| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $748.07 | $1,029.48 | |
Aetna
| Professional | $314.18 | $314.18 | $436.73 | |
BCBS
| Facility | $436.18 | $585.78 | $848.51 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medica
| Facility | $314.18 | $314.18 | $445.46 |