| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.69 | $1.69 | $1.69 | |
Aetna
| Professional | $1.69 | $1.69 | $1.69 | |
BCBS
| Professional | $6.06 | $6.06 | $6.06 | |
Cigna
| Professional | $1.89 | $1.89 | $1.89 | |
Medica
| Facility | $1.69 | $1.76 | $4.75 | |
Medica
| Professional | $5.14 | $5.14 | $5.14 |