| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $3.00 | |
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
BCBS
| Professional | $22.75 | $28.00 | $66.15 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medica
| Facility | $3.00 | $3.30 | $6.51 | |
Medica
| Professional | $3.00 | $3.00 | $45.07 |