| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.39 | $545.11 | $843.00 | |
Aetna
| Professional | $293.39 | $293.39 | $337.88 | |
Anthem BCBS
| Professional | $99.18 | $350.00 | $408.69 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Medica
| Facility | $293.39 | $331.54 | $685.47 | |
Medica
| Professional | $476.77 | $476.77 | $476.77 |