| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
BCBS
| Professional | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Medica
| Facility | $2.00 | $2.04 | $2.95 | |
Medica
| Professional | $22.39 | $33.88 | $47.86 | |
United
| Professional | $22.39 | $33.88 | $47.86 |