| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
Anthem BCBS
| Professional | $5.56 | $5.56 | $7.68 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Medica
| Facility | $32.00 | $39.14 | $87.36 | |
Medica
| Professional | $67.48 | $67.48 | $67.48 |