| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.25 | $6.25 | $14.22 | |
Aetna
| Professional | $6.25 | $6.25 | $7.12 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $0.02 | $5.50 | $5.50 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
Medica
| Facility | $6.25 | $6.64 | $100.00 | |
Medica
| Professional | $0.02 | $0.02 | $3.54 | |
United
| Professional | $0.02 | $0.02 | $3.54 |