| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.08 | $34.18 | $89.26 | |
Anthem BCBS
| Professional | $30.62 | $81.20 | $113.00 | |
Cigna
| Professional | $88.31 | $88.31 | $88.31 | |
Medica
| Facility | $28.13 | $41.34 | $91.60 | |
Medica
| Professional | $74.72 | $380.66 | $380.66 |