| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Aetna
| Professional | $0.04 | $0.04 | $0.04 | |
Anthem BCBS
| Professional | $9.22 | $13.94 | $40.72 | |
Cigna
| Professional | $28.91 | $29.20 | $36.14 | |
Medica
| Facility | $28.25 | $28.25 | $28.25 |