| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.26 | $104.26 | $104.26 | |
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Anthem BCBS
| Professional | $310.23 | $310.23 | $423.88 | |
Cigna
| Facility | $179.21 | $281.58 | $385.66 | |
Medica
| Facility | $53.52 | $98.98 | $164.70 |