| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.45 | $1,532.85 | $1,532.85 | |
Aetna
| Professional | $700.88 | $855.25 | $1,136.89 | |
BCBS
| Facility | $528.25 | $2,074.03 | $3,456.06 | |
BCBS
| Professional | $514.53 | $686.04 | $857.55 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $700.88 | $770.97 | $1,338.68 |