| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $91.25 | $300.00 | $300.00 | |
Cigna
| Professional | $191.26 | $191.26 | $191.26 | |
Medica
| Facility | $1.26 | $1.71 | $3.59 | |
Medica
| Professional | $322.91 | $322.91 | $322.91 |