| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.28 | $146.58 | $500.00 | |
Anthem BCBS
| Professional | $3,200.00 | $3,200.00 | $3,200.00 | |
Cigna
| Facility | $249.70 | $693.31 | $1,015.05 | |
Medica
| Facility | $500.00 | $541.02 | $541.02 |