| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.76 | $118.61 | $139.93 | |
Aetna
| Professional | $92.50 | $113.77 | $139.93 | |
Anthem BCBS
| Professional | $87.24 | $148.29 | $235.66 | |
Cigna
| Professional | $190.33 | $190.33 | $190.33 | |
Medica
| Facility | $102.34 | $146.93 | $319.69 | |
Medica
| Professional | $728.46 | $728.46 | $728.46 |