| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $30.90 | $33.88 | $52.48 | |
Anthem BCBS
| Professional | $22.91 | $22.91 | $29.51 | |
BCBS
| Professional | $19.05 | $30.90 | $30.90 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Medica
| Facility | $34.67 | $37.15 | $97.72 | |
Medica
| Professional | $123.03 | $123.03 | $123.03 |