| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $251.19 | $257.04 | |
Anthem BCBS
| Professional | $25.12 | $25.12 | $30.90 | |
Cigna
| Professional | $15.14 | $15.14 | $15.14 | |
Medica
| Facility | $257.04 | $269.15 | $562.34 | |
Medica
| Professional | $15.49 | $15.49 | $15.49 |