| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $22.91 | $22.91 | |
Anthem BCBS
| Professional | $15.14 | $15.14 | $21.88 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Medica
| Facility | $7.94 | $23.44 | $109.65 |