| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $23.45 | $31.65 | |
Anthem BCBS
| Professional | $10.08 | $35.33 | $76.00 | |
Cigna
| Professional | $33.83 | $33.83 | $33.83 | |
Medica
| Facility | $22.50 | $30.44 | $57.21 | |
Medica
| Professional | $27.96 | $283.32 | $283.32 |