| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.87 | $25.87 | $345.00 | |
Anthem BCBS
| Professional | $15.00 | $15.00 | $22.00 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $18.77 | $18.77 | $18.77 | |
Medica
| Facility | $8.00 | $25.87 | $108.27 |