| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.43 | $1.43 | $1.43 | |
Aetna
| Professional | $0.57 | $0.72 | $1.43 | |
BCBS
| Facility | $154.00 | $204.37 | $362.36 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Medica
| Facility | $0.73 | $1.14 | $1.80 | |
Medica
| Professional | $8.66 | $235.83 | $235.83 | |
United
| Professional | $235.83 | $235.83 | $245.36 |