| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.33 | $10.33 | $10.33 | |
Aetna
| Professional | $5.27 | $10.33 | $15.08 | |
BCBS
| Facility | $4.55 | $10.75 | $26.60 | |
BCBS
| Professional | $12.32 | $15.16 | $35.82 | |
Cigna
| Professional | $8.78 | $8.78 | $8.78 | |
Medica
| Facility | $10.33 | $17.22 | $31.05 | |
Medica
| Professional | $6.59 | $7.30 | $85.76 | |
United
| Professional | $6.59 | $7.30 | $10.99 |