| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $1.69 | |
Anthem BCBS
| Professional | $2.20 | $2.20 | $3.35 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 | |
Medica
| Facility | $1.69 | $2.15 | $4.61 | |
Medica
| Professional | $5.14 | $5.14 | $5.14 |