| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
Anthem BCBS
| Professional | $18.62 | $18.62 | $23.44 | |
Cigna
| Professional | $8.71 | $8.71 | $8.71 | |
Medica
| Facility | $34.67 | $37.15 | $77.62 | |
Medica
| Professional | $53.70 | $53.70 | $53.70 |