| 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 | $31.50 | $31.50 | $31.50 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Medica
| Facility | $2.00 | $2.00 | $2.74 | |
Medica
| Professional | $22.43 | $33.64 | $47.89 | |
United
| Professional | $22.43 | $33.64 | $47.38 |