| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $404.13 | $404.13 | $448.97 | |
Anthem BCBS
| Professional | $297.50 | $350.00 | $439.73 | |
Cigna
| Professional | $64.87 | $104.51 | $104.51 | |
Medica
| Facility | $404.13 | $424.34 | $905.25 | |
Medica
| Professional | $829.27 | $829.27 | $829.27 |