| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $57.57 | $57.57 | $71.70 | |
Cigna
| Professional | $41.61 | $110.74 | $282.14 | |
Medica
| Facility | $90.00 | $90.00 | $189.18 | |
Medica
| Professional | $116.87 | $304.19 | $304.19 |