| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.39 | $742.95 | $1,726.25 | |
Aetna
| Professional | $293.39 | $293.39 | $293.39 | |
BCBS
| Professional | $386.28 | $386.28 | $386.28 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Medica
| Facility | $293.39 | $305.25 | $428.01 | |
Medica
| Professional | $476.77 | $476.77 | $476.77 |