| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $323.59 | $323.59 | $389.05 | |
BCBS
| Facility | $131.83 | $181.97 | $204.17 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
Medica
| Facility | $331.13 | $346.74 | $489.78 |