| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $115.15 | $115.15 | $144.44 | |
Cigna
| Professional | $83.33 | $87.45 | $165.74 | |
Medica
| Facility | $134.18 | $134.18 | $134.18 | |
Medica
| Professional | $164.06 | $164.06 | $527.02 |