| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.04 | $111.04 | $127.14 | |
Anthem BCBS
| Professional | $13.80 | $32.00 | $44.00 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Medica
| Facility | $111.04 | $116.59 | $229.85 |