| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.40 | $247.40 | $247.40 | |
Anthem BCBS
| Professional | $264.82 | $357.47 | $447.58 | |
Cigna
| Facility | $170.83 | $170.83 | $170.83 | |
Cigna
| Professional | $145.21 | $170.83 | $175.95 | |
Medica
| Facility | $100.00 | $247.40 | $247.40 |