| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.25 | $63.49 | $63.49 | |
Aetna
| Professional | $42.00 | $51.56 | $63.49 | |
Anthem BCBS
| Professional | $33.65 | $46.49 | $62.32 | |
Cigna
| Professional | $42.87 | $42.87 | $42.87 | |
Medica
| Facility | $42.00 | $66.66 | $144.01 | |
Medica
| Professional | $338.50 | $338.50 | $338.50 |