| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $7.00 | $7.12 | $8.55 | |
Cigna
| Professional | $1.61 | $1.61 | $1.61 | |
Medica
| Facility | $4.00 | $4.34 | $8.90 | |
Medica
| Professional | $72.45 | $72.45 | $72.45 |