| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $854.03 | $854.03 | $854.03 | |
Anthem BCBS
| Professional | $12.51 | $17.96 | $21.95 | |
Cigna
| Facility | $145.34 | $161.49 | $161.49 | |
Medica
| Facility | $854.03 | $854.03 | $1,281.05 |