| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.53 | $12.53 | $12.53 | |
Aetna
| Professional | $8.86 | $10.98 | $12.53 | |
BCBS
| Professional | $15.74 | $19.03 | $20.99 | |
Cigna
| Facility | $29.95 | $29.95 | $34.45 | |
Cigna
| Professional | $19.88 | $20.07 | $24.84 | |
Medica
| Facility | $12.53 | $17.22 | $31.00 | |
Medica
| Professional | $6.86 | $7.30 | $17.22 | |
United
| Professional | $4.87 | $6.86 | $13.72 |