| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.88 | $15.88 | $15.88 | |
Aetna
| Professional | $7.67 | $8.63 | $15.88 | |
BCBS
| Facility | $14.39 | $16.53 | $17.54 | |
BCBS
| Professional | $16.16 | $16.16 | $16.41 | |
Cigna
| Professional | $7.34 | $7.34 | $7.34 | |
Medica
| Facility | $7.98 | $12.42 | $21.28 | |
Medica
| Professional | $4.78 | $7.18 | $71.66 | |
United
| Professional | $4.78 | $7.18 | $10.29 |