| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.82 | $748.81 | $748.81 | |
Aetna
| Professional | $0.82 | $0.82 | $0.87 | |
Anthem BCBS
| Facility | $0.93 | $1.45 | $2.24 | |
Anthem BCBS
| Professional | $0.85 | $30.00 | $30.00 | |
Medica
| Facility | $0.82 | $1.02 | $2.20 | |
Medica
| Professional | $141.37 | $141.37 | $141.37 |