| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
BCBS
| Facility | $10.63 | $11.82 | $13.57 | |
BCBS
| Professional | $12.12 | $12.12 | $12.24 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Medica
| Facility | $7.50 | $7.80 | $21.08 | |
Medica
| Professional | $11.00 | $11.00 | $11.00 |