| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.65 | $502.85 | $964.80 | |
Aetna
| Professional | $181.94 | $317.60 | $317.60 | |
Anthem BCBS
| Professional | $60.00 | $60.00 | $376.00 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 | |
Medica
| Facility | $300.22 | $336.66 | $706.45 | |
Medica
| Professional | $329.53 | $329.53 | $329.53 |