| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $455.00 | $455.00 | $571.64 | |
Cigna
| Professional | $967.96 | $967.96 | $967.96 | |
Medica
| Facility | $100.00 | $100.00 | $372.97 | |
Medica
| Professional | $372.97 | $372.97 | $372.97 |