| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.89 | $531.89 | $531.89 | |
Aetna
| Professional | $531.89 | $531.89 | $897.01 | |
BCBS
| Facility | $1,040.58 | $1,632.34 | $3,140.82 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $531.89 | $898.89 | $1,673.54 |