| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.00 | $450.00 | $650.00 | |
Anthem BCBS
| Facility | $270.00 | $516.73 | $1,014.00 | |
Cigna
| Facility | $350.00 | $563.00 | $1,000.00 | |
Medica
| Facility | $923.67 | $923.67 | $1,040.04 |