| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $503.29 | $503.29 | $503.29 | |
Anthem BCBS
| Professional | $600.00 | $600.00 | $608.32 | |
Cigna
| Facility | $390.00 | $390.00 | $390.00 | |
Cigna
| Professional | $331.50 | $390.00 | $401.70 | |
Medica
| Facility | $394.10 | $503.29 | $503.29 |