| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $333.42 | $356.76 | $1,539.07 | |
Anthem BCBS
| Professional | $1.00 | $11.04 | $270.30 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 | |
Medica
| Facility | $100.00 | $333.42 | $1,667.10 |