| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Anthem BCBS
| Professional | $1.00 | $1.02 | $2.00 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Medica
| Facility | $2.00 | $2.20 | $4.45 | |
Medica
| Professional | $22.64 | $33.64 | $58.32 | |
United
| Professional | $21.57 | $33.42 | $49.45 |