| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $836.47 | $836.47 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
BCBS
| Professional | $576.07 | $678.75 | $742.91 | |
Cigna
| Professional | $360.74 | $646.13 | $807.66 | |
Medica
| Facility | $836.47 | $836.47 | $1,547.47 |