| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $42.66 | |
Anthem BCBS
| Professional | $3.80 | $3.80 | $3.80 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Medica
| Facility | $3.47 | $5.13 | $213.80 | |
United
| Facility | $63.10 | $63.10 | $199.53 |