| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.43 | $19.43 | $19.43 | |
Aetna
| Professional | $5.67 | $9.38 | $19.43 | |
BCBS
| Facility | $14.22 | $15.51 | $16.46 | |
BCBS
| Professional | $15.24 | $15.40 | $16.00 | |
Cigna
| Facility | $12.44 | $12.44 | $12.44 | |
Cigna
| Professional | $10.57 | $12.44 | $30.00 | |
Medica
| Facility | $5.67 | $15.23 | $92.20 | |
Medica
| Professional | $5.85 | $8.77 | $22.51 | |
United
| Professional | $5.85 | $8.77 | $12.61 |