| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.93 | $7.54 | $7.54 | |
Aetna
| Professional | $7.54 | $7.54 | $9.42 | |
Anthem BCBS
| Professional | $150.00 | $150.00 | $228.75 | |
Cigna
| Facility | $54.70 | $279.79 | $451.85 | |
Medica
| Facility | $7.54 | $7.54 | $540.03 |