| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.49 | $5.49 | $5.49 | |
Aetna
| Professional | $2.80 | $5.49 | $8.01 | |
BCBS
| Facility | $1.50 | $3.53 | $8.74 | |
BCBS
| Professional | $4.04 | $4.98 | $11.76 | |
Cigna
| Professional | $4.67 | $4.67 | $4.67 | |
Medica
| Facility | $5.49 | $9.15 | $16.48 | |
Medica
| Professional | $3.50 | $3.88 | $45.57 | |
United
| Professional | $2.96 | $3.88 | $5.84 |