| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.33 | $15.33 | $15.33 | |
Aetna
| Professional | $7.77 | $8.99 | $15.33 | |
BCBS
| Facility | $12.25 | $14.05 | $14.91 | |
BCBS
| Professional | $13.95 | $13.95 | $14.08 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
Medica
| Facility | $8.00 | $14.31 | $22.28 | |
Medica
| Professional | $6.21 | $9.31 | $111.30 | |
United
| Professional | $5.95 | $8.93 | $15.72 |