| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.27 | $175.27 | $8,500.00 | |
Aetna
| Professional | $47.86 | $175.27 | $1,456.81 | |
BCBS
| Professional | $1,651.51 | $1,750.60 | $2,047.05 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Medica
| Facility | $175.27 | $175.27 | $525.80 |