| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $238.98 | |
Anthem BCBS
| Professional | $269.75 | $357.47 | $449.12 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $185.53 | |
Medica
| Facility | $100.00 | $238.98 | $238.98 |