| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $344.00 | $344.00 | $344.00 | |
Anthem BCBS
| Professional | $1.72 | $1.72 | $1.72 | |
Cigna
| Professional | $120.00 | $120.00 | $120.00 | |
Medica
| Facility | $100.00 | $100.00 | $516.00 |