| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $12.56 | |
Aetna
| Professional | $4.88 | $6.56 | $6.86 | |
BCBS
| Professional | $10.55 | $14.06 | $15.79 | |
Cigna
| Professional | $8.26 | $8.34 | $10.49 | |
Medica
| Facility | $4.88 | $10.47 | $100.00 | |
Medica
| Professional | $3.46 | $8.38 | $11.98 | |
United
| Professional | $2.93 | $4.88 | $11.98 |