| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
BCBS
| Professional | $28.18 | $39.81 | $64.57 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
Medica
| Facility | $3.02 | $3.16 | $89.13 | |
Medica
| Professional | $3.02 | $3.02 | $44.67 | |
United
| Professional | $47.86 | $47.86 | $47.86 |