| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $44.43 | |
Aetna
| Professional | $37.15 | $37.15 | $37.15 | |
Anthem BCBS
| Professional | $5.32 | $18.05 | $21.25 | |
Cigna
| Professional | $19.36 | $19.36 | $22.64 | |
Medica
| Facility | $37.15 | $43.11 | $92.87 |