| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.59 | $9.59 | $9.59 | |
Aetna
| Professional | $4.63 | $5.17 | $9.59 | |
BCBS
| Facility | $8.72 | $10.01 | $10.62 | |
BCBS
| Professional | $9.78 | $9.78 | $9.94 | |
Cigna
| Professional | $4.45 | $4.45 | $4.45 | |
Medica
| Facility | $4.82 | $7.52 | $12.85 | |
Medica
| Professional | $2.89 | $4.34 | $43.28 | |
United
| Professional | $2.89 | $4.34 | $6.23 |