| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.60 | $37.50 | $100.00 | |
Anthem BCBS
| Professional | $92.00 | $92.00 | $920.00 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
Medica
| Facility | $100.00 | $100.00 | $145.87 | |
Medica
| Professional | $91.79 | $91.79 | $145.87 |