| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Professional | $2.29 | $2.29 | $3.18 | |
Cigna
| Professional | $1.76 | $1.76 | $1.76 | |
Medica
| Facility | $4.00 | $4.68 | $10.92 | |
Medica
| Professional | $9.26 | $9.26 | $9.26 |