| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
Anthem BCBS
| Professional | $560.00 | $560.00 | $560.00 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $542.49 | |
Medica
| Facility | $59.28 | $59.28 | $80.00 |