| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.43 | $327.43 | $327.43 | |
Aetna
| Professional | $327.43 | $327.43 | $376.30 | |
BCBS
| Facility | $129.62 | $180.00 | $197.68 | |
Cigna
| Professional | $310.31 | $310.31 | $310.31 | |
Medica
| Facility | $327.43 | $340.53 | $488.49 |