| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.23 | $15.23 | $15.23 | |
Aetna
| Professional | $3.78 | $7.35 | $15.23 | |
BCBS
| Facility | $10.65 | $11.21 | $11.92 | |
BCBS
| Professional | $11.77 | $11.77 | $11.77 | |
Cigna
| Facility | $8.28 | $8.28 | $8.28 | |
Cigna
| Professional | $7.05 | $8.28 | $20.16 | |
Medica
| Facility | $3.78 | $11.91 | $80.00 | |
Medica
| Professional | $3.90 | $6.88 | $17.61 | |
United
| Professional | $3.90 | $6.49 | $9.86 |