| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.21 | $5.21 | $5.21 | |
Aetna
| Professional | $2.54 | $5.21 | $8.68 | |
BCBS
| Facility | $2.29 | $5.42 | $13.41 | |
BCBS
| Professional | $6.21 | $7.65 | $18.07 | |
Cigna
| Professional | $4.45 | $4.45 | $4.45 | |
Medica
| Facility | $5.21 | $8.69 | $17.03 | |
Medica
| Professional | $3.34 | $3.69 | $43.28 | |
United
| Professional | $2.89 | $3.69 | $5.56 |