| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.29 | $517.29 | $517.29 | |
Aetna
| Professional | $517.29 | $517.29 | $550.00 | |
Anthem BCBS
| Professional | $180.00 | $400.00 | $400.00 | |
Cigna
| Facility | $117.59 | $298.41 | $451.85 | |
Medica
| Facility | $517.29 | $543.16 | $1,105.04 |