| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $748.07 | $748.07 | $1,430.69 | |
Aetna
| Professional | $748.07 | $935.09 | $935.09 | |
BCBS
| Facility | $818.20 | $822.29 | $832.85 | |
Cigna
| Professional | $794.83 | $794.83 | $794.83 | |
Medica
| Facility | $748.07 | $748.07 | $2,244.21 |