| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.18 | $752.64 | $1,104.00 | |
Aetna
| Professional | $314.18 | $314.18 | $433.26 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medica
| Facility | $314.18 | $384.24 | $760.32 |