| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $260.44 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $125.00 | $125.00 | $153.78 | |
Medica
| Facility | $1.26 | $1.47 | $3.44 | |
Medica
| Professional | $77.70 | $77.70 | $77.70 |