| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.63 | $8.63 | $8.63 | |
Aetna
| Professional | $4.40 | $8.63 | $12.59 | |
BCBS
| Facility | $12.39 | $12.39 | $12.39 | |
BCBS
| Professional | $10.30 | $12.67 | $29.94 | |
Cigna
| Professional | $7.34 | $7.34 | $7.34 | |
Medica
| Facility | $8.63 | $14.39 | $26.00 | |
Medica
| Professional | $5.51 | $6.10 | $71.66 | |
United
| Professional | $4.78 | $6.10 | $9.18 |