| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $410.33 | $429.48 | $441.16 | |
Anthem BCBS
| Professional | $13.80 | $32.00 | $44.00 | |
Cigna
| Professional | $88.76 | $88.76 | $88.76 | |
Medica
| Facility | $429.48 | $450.95 | $867.55 |