| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,151.72 | $1,726.72 | $3,135.93 | |
BCBS
| Facility | $686.04 | $2,693.56 | $4,488.42 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $1,151.72 | $1,266.89 | $2,436.98 |