| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.17 | $15.17 | $15.17 | |
Aetna
| Professional | $15.17 | $15.17 | $15.17 | |
BCBS
| Facility | $15.61 | $15.69 | $15.89 | |
BCBS
| Professional | $13.27 | $15.66 | $15.89 | |
Cigna
| Professional | $13.88 | $14.01 | $17.34 | |
Medica
| Facility | $10.53 | $14.89 | $44.67 | |
Medica
| Professional | $15.32 | $16.85 | $23.60 | |
United
| Professional | $15.32 | $16.85 | $17.30 |