| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $25.25 | $25.25 | $31.31 | |
Cigna
| Professional | $46.09 | $102.09 | $124.11 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $128.10 | $245.65 | $245.65 |