| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,603.54 | $1,603.54 | $1,603.54 | |
Aetna
| Professional | $1,380.19 | $1,550.96 | $1,640.51 | |
BCBS
| Facility | $407.42 | $479.31 | $571.46 | |
Cigna
| Professional | $1,977.00 | $1,996.77 | $2,510.79 | |
Medica
| Facility | $1,404.33 | $1,694.19 | $2,808.58 |