| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.00 | $170.47 | $844.38 | |
Aetna
| Professional | $102.14 | $121.70 | $608.00 | |
Anthem BCBS
| Professional | $70.00 | $90.00 | $125.64 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Medica
| Facility | $80.84 | $109.67 | $268.93 |