| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Facility | $1.00 | $3.30 | $7.14 | |
BCBS
| Professional | $2.64 | $3.30 | $3.30 | |
Cigna
| Professional | $21.00 | $21.00 | $21.00 | |
Medica
| Facility | $8.00 | $100.00 | $100.00 |