| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $7.08 | $10.00 | $15.14 | |
BCBS
| Facility | $15.14 | $15.14 | $15.14 | |
BCBS
| Professional | $15.14 | $15.14 | $15.14 | |
Cigna
| Professional | $8.71 | $8.71 | $10.96 | |
Medica
| Facility | $10.00 | $13.49 | $34.67 | |
Medica
| Professional | $4.90 | $8.32 | $22.39 | |
United
| Facility | $7.76 | $7.76 | $7.76 | |
United
| Professional | $4.90 | $7.76 | $10.47 |