| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.23 | $10.23 | $10.23 | |
Aetna
| Professional | $2.54 | $4.24 | $10.23 | |
BCBS
| Professional | $8.51 | $8.51 | $8.60 | |
Cigna
| Facility | $5.57 | $5.57 | $6.88 | |
Cigna
| Professional | $4.73 | $5.57 | $13.13 | |
Medica
| Facility | $2.54 | $7.99 | $80.00 | |
Medica
| Professional | $2.62 | $3.97 | $11.83 | |
United
| Professional | $2.65 | $3.97 | $5.71 |