| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.47 | $12.47 | $12.47 | |
Aetna
| Professional | $5.03 | $5.53 | $12.47 | |
BCBS
| Professional | $16.02 | $18.94 | $19.42 | |
Cigna
| Professional | $19.88 | $20.07 | $25.24 | |
Medica
| Facility | $8.34 | $12.47 | $80.00 | |
Medica
| Professional | $6.83 | $8.48 | $13.85 | |
United
| Professional | $4.84 | $8.07 | $13.65 |