| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.10 | $16.35 | $19.57 | |
Anthem BCBS
| Professional | $6.72 | $19.61 | $29.00 | |
Cigna
| Professional | $19.22 | $19.22 | $19.22 | |
Medica
| Facility | $15.93 | $20.21 | $39.15 | |
Medica
| Professional | $17.01 | $108.59 | $108.59 |