| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $371.54 | $416.87 | |
Anthem BCBS
| Professional | $380.19 | $380.19 | $3,890.45 | |
Cigna
| Professional | $186.21 | $10,000.00 | $12,022.64 | |
Medica
| Facility | $371.54 | $398.11 | $870.96 |