| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.75 | $1.75 | $1.75 | |
Aetna
| Professional | $1.75 | $1.75 | $1.75 | |
BCBS
| Facility | $8.00 | $9.19 | $9.74 | |
BCBS
| Professional | $9.11 | $9.11 | $9.11 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Medica
| Facility | $1.75 | $1.82 | $4.92 |