| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $263.03 | $4,897.79 | |
Anthem BCBS
| Professional | $25.12 | $25.12 | $30.20 | |
Cigna
| Professional | $1,230.27 | $1,288.25 | $1,548.82 | |
Medica
| Facility | $263.03 | $275.42 | $630.96 |