| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.88 | $4.88 | $8.00 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.65 | |
Cigna
| Professional | $445.80 | $445.80 | $445.80 | |
Medica
| Facility | $4.88 | $5.61 | $11.40 | |
Medica
| Professional | $7.70 | $7.70 | $7.70 |