| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $12.31 | |
Cigna
| Professional | $486.32 | $486.32 | $611.51 | |
Medica
| Facility | $100.00 | $100.00 | $997.19 | |
Medica
| Professional | $163.29 | $224.52 | $336.05 | |
United
| Professional | $149.68 | $224.52 | $336.05 |