| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.94 | $13.94 | $13.94 | |
Aetna
| Professional | $3.46 | $6.73 | $13.94 | |
BCBS
| Facility | $9.94 | $10.46 | $11.12 | |
BCBS
| Professional | $10.98 | $10.98 | $10.98 | |
Cigna
| Facility | $7.59 | $7.59 | $7.59 | |
Cigna
| Professional | $6.45 | $7.59 | $18.28 | |
Medica
| Facility | $3.46 | $10.91 | $80.00 | |
Medica
| Professional | $3.57 | $6.30 | $16.13 | |
United
| Professional | $3.57 | $5.69 | $8.50 |