| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $21.21 | $21.21 | $26.26 | |
Cigna
| Professional | $37.77 | $40.97 | $104.38 | |
Medica
| Facility | $90.00 | $90.00 | $139.63 | |
Medica
| Professional | $122.00 | $5,919.01 | $5,919.01 |