| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.63 | $425.13 | $425.13 | |
Aetna
| Professional | $298.27 | $345.63 | $425.13 | |
Anthem BCBS
| Professional | $153.63 | $485.00 | $646.83 | |
Cigna
| Professional | $464.64 | $464.64 | $464.64 | |
Medica
| Facility | $345.63 | $446.39 | $971.22 | |
Medica
| Professional | $2,390.37 | $2,390.37 | $2,390.37 |