| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.65 | $185.30 | $185.30 | |
Aetna
| Professional | $113.35 | $150.65 | $185.30 | |
Anthem BCBS
| Professional | $92.49 | $128.41 | $151.80 | |
Cigna
| Professional | $98.49 | $98.49 | $98.49 | |
Medica
| Facility | $130.02 | $194.57 | $423.33 | |
Medica
| Professional | $902.23 | $902.23 | $902.23 |