| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.31 | $26.31 | $26.31 | |
Anthem BCBS
| Professional | $7.25 | $7.25 | $8.36 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $145.26 | $145.26 | $145.26 | |
Medica
| Facility | $26.31 | $26.31 | $75.00 |