| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.14 | $0.14 | $0.14 | |
Aetna
| Professional | $0.14 | $0.14 | $0.15 | |
Anthem BCBS
| Professional | $0.14 | $0.14 | $0.18 | |
Cigna
| Professional | $163.24 | $163.24 | $163.24 | |
Medica
| Facility | $0.14 | $0.15 | $100.00 | |
Medica
| Professional | $0.28 | $0.72 | $0.79 | |
United
| Professional | $0.28 | $0.72 | $0.81 |