| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
BCBS
| Facility | $60.26 | $102.33 | $109.65 | |
BCBS
| Professional | $630.96 | $812.83 | $1,230.27 | |
Cigna
| Professional | $1,288.25 | $1,288.25 | $1,548.82 | |
Medica
| Facility | $707.95 | $1,000.00 | $1,584.89 |