| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
Anthem BCBS
| Professional | $50.40 | $50.40 | $70.48 | |
Cigna
| Professional | $81.59 | $81.59 | $184.83 | |
Medica
| Facility | $146.62 | $578.78 | $578.78 |