| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $697.68 | $1,869.59 | $5,681.95 | |
Aetna
| Professional | $507.78 | $507.78 | $507.78 | |
BCBS
| Facility | $1,043.09 | $1,455.56 | $2,275.21 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Medica
| Facility | $507.78 | $523.01 | $910.21 |