| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.40 | $798.38 | $798.38 | |
Aetna
| Professional | $798.38 | $798.38 | $798.38 | |
BCBS
| Professional | $477.81 | $562.97 | $616.19 | |
Cigna
| Professional | $291.51 | $480.75 | $600.94 | |
Medica
| Facility | $742.96 | $798.38 | $1,357.25 |