| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $11.00 | $11.00 | |
Anthem BCBS
| Professional | $111.13 | $111.13 | $111.13 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $90.00 | $100.00 | $100.00 | |
Medica
| Professional | $44.46 | $44.46 | $44.46 |