| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.31 | $292.31 | $292.31 | |
Aetna
| Professional | $242.71 | $242.71 | $292.31 | |
BCBS
| Professional | $546.69 | $644.12 | $705.01 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
Medica
| Facility | $242.71 | $292.31 | $540.77 |