| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $111.13 | $111.13 | $111.13 | |
Cigna
| Professional | $0.80 | $0.80 | $0.80 | |
Medica
| Facility | $100.00 | $100.00 | $149.05 | |
Medica
| Professional | $149.05 | $149.05 | $149.05 |