| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
BCBS
| Professional | $5.62 | $8.13 | $12.88 | |
Cigna
| Professional | $1.78 | $1.78 | $1.78 | |
Medica
| Facility | $3.98 | $4.27 | $89.13 | |
Medica
| Professional | $3.98 | $3.98 | $9.33 | |
United
| Professional | $3.16 | $3.16 | $3.16 |