| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.31 | $13.31 | $13.31 | |
Aetna
| Professional | $13.31 | $13.31 | $13.31 | |
Anthem BCBS
| Professional | $0.06 | $0.06 | $1.00 | |
Cigna
| Professional | $10.23 | $10.23 | $10.23 | |
Medica
| Facility | $13.31 | $37.40 | $100.00 |