| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.00 | $1,514.00 | $2,100.00 | |
Aetna
| Professional | $425.00 | $425.00 | $425.00 | |
BCBS
| Facility | $565.19 | $631.00 | $817.72 | |
Cigna
| Facility | $294.70 | $764.23 | $912.30 | |
Medica
| Facility | $425.00 | $488.75 | $680.00 |