| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $4.04 | $4.04 | $4.04 | |
BCBS
| Facility | $1.33 | $1.48 | $1.69 | |
BCBS
| Professional | $1.51 | $1.52 | $1.52 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Medica
| Facility | $4.04 | $4.20 | $11.35 | |
Medica
| Professional | $11.23 | $11.23 | $11.23 |