| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.31 | $1.31 | $1.31 | |
Aetna
| Professional | $1.31 | $1.31 | $1.31 | |
Anthem BCBS
| Professional | $6.27 | $8.10 | $9.47 | |
Medica
| Facility | $1.31 | $1.78 | $3.68 | |
Medica
| Professional | $2.04 | $2.04 | $2.04 |