| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.50 | $1,095.44 | $1,967.52 | |
Aetna
| Professional | $327.06 | $798.38 | $798.38 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 | |
Medica
| Facility | $798.38 | $862.25 | $1,775.86 | |
Medica
| Professional | $753.66 | $753.66 | $753.66 |