| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Facility | $12.86 | $13.54 | $13.54 | |
BCBS
| Professional | $13.41 | $13.41 | $13.41 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Medica
| Facility | $4.00 | $4.00 | $5.36 | |
Medica
| Professional | $6.87 | $6.87 | $6.87 |