| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.15 | $171.15 | $921.61 | |
Aetna
| Professional | $171.15 | $171.15 | $361.77 | |
Anthem BCBS
| Professional | $379.73 | $650.00 | $650.00 | |
Cigna
| Professional | $424.58 | $424.58 | $533.88 | |
Medica
| Facility | $171.15 | $204.57 | $399.86 | |
Medica
| Professional | $427.26 | $427.26 | $427.26 |