| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Anthem BCBS
| Professional | $9.92 | $22.73 | $29.58 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
Medica
| Facility | $14.82 | $16.01 | $102.29 | |
Medica
| Professional | $4.43 | $5.63 | $10.18 | |
United
| Professional | $3.98 | $5.63 | $10.85 |