| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.29 | $131.72 | $132.65 | |
Anthem BCBS
| Professional | $13.80 | $43.00 | $45.34 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Medica
| Facility | $131.72 | $137.68 | $272.66 |