| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.47 | $20.62 | $25.33 | |
Anthem BCBS
| Professional | $8.23 | $22.88 | $36.00 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 | |
Medica
| Facility | $19.47 | $25.84 | $50.66 | |
Medica
| Professional | $22.00 | $193.44 | $193.44 |