| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.59 | $2.59 | $2.59 | |
Aetna
| Professional | $2.59 | $2.59 | $2.59 | |
Anthem BCBS
| Professional | $3.16 | $3.16 | $3.43 | |
Cigna
| Professional | $3.03 | $3.03 | $3.03 | |
Medica
| Facility | $2.59 | $7.28 | $100.00 |