| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $10,000.00 | |
Aetna
| Professional | $40.00 | $40.00 | $2,719.84 | |
BCBS
| Professional | $1,731.93 | $1,883.77 | $2,225.69 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Medica
| Facility | $40.00 | $40.00 | $120.00 |