| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $23.24 | $33.45 | |
Anthem BCBS
| Professional | $10.47 | $30.27 | $52.93 | |
Cigna
| Professional | $36.89 | $36.89 | $36.89 | |
Medica
| Facility | $22.50 | $31.14 | $57.21 | |
Medica
| Professional | $28.34 | $167.71 | $167.71 |