| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
BCBS
| Professional | $20.42 | $26.30 | $39.81 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Medica
| Facility | $2.00 | $2.00 | $3.24 | |
Medica
| Professional | $23.44 | $35.48 | $61.66 | |
United
| Facility | $27.54 | $27.54 | $27.54 | |
United
| Professional | $23.44 | $35.48 | $61.66 |