| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.87 | $53.48 | $65.47 | |
Anthem BCBS
| Professional | $58.80 | $67.48 | $113.16 | |
Cigna
| Professional | $73.31 | $73.31 | $73.31 | |
Medica
| Facility | $52.38 | $69.18 | $133.09 | |
Medica
| Professional | $60.83 | $367.45 | $367.45 |