| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.78 | $27.78 | $399.12 | |
Aetna
| Professional | $27.78 | $27.78 | $62.58 | |
Anthem BCBS
| Professional | $1.93 | $35.00 | $35.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 | |
Medica
| Facility | $27.78 | $41.44 | $100.00 |