| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.73 | $12.73 | $12.73 | |
Aetna
| Professional | $3.15 | $6.14 | $12.73 | |
BCBS
| Facility | $8.74 | $9.53 | $10.11 | |
BCBS
| Professional | $9.47 | $9.47 | $9.47 | |
Cigna
| Facility | $7.54 | $7.54 | $7.54 | |
Cigna
| Professional | $6.41 | $6.41 | $16.88 | |
Medica
| Facility | $3.15 | $9.94 | $80.00 | |
Medica
| Professional | $3.26 | $5.75 | $14.72 | |
United
| Professional | $3.26 | $5.19 | $7.75 |