| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.34 | $79.36 | $79.36 | |
Aetna
| Professional | $78.45 | $79.34 | $80.93 | |
Anthem BCBS
| Professional | $15.77 | $19.89 | $35.28 | |
Cigna
| Professional | $46.97 | $46.97 | $46.97 | |
Medica
| Facility | $42.13 | $79.36 | $144.38 |