| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.10 | $14.10 | $14.10 | |
Aetna
| Professional | $7.20 | $14.10 | $20.58 | |
BCBS
| Facility | $6.21 | $14.67 | $36.27 | |
BCBS
| Professional | $16.80 | $20.69 | $48.88 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Medica
| Facility | $14.10 | $23.50 | $42.49 | |
Medica
| Professional | $9.01 | $9.97 | $117.03 | |
United
| Professional | $7.60 | $9.97 | $15.01 |