| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.00 | $43.00 | $99.36 | |
Anthem BCBS
| Professional | $1.05 | $1.05 | $1.05 | |
Cigna
| Facility | $14.47 | $47.40 | $56.03 | |
Medica
| Facility | $65.38 | $77.19 | $157.94 | |
Medica
| Professional | $252.00 | $252.00 | $252.00 |