| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.30 | $8.30 | $8.30 | |
Aetna
| Professional | $6.31 | $8.30 | $8.30 | |
BCBS
| Facility | $15.07 | $16.44 | $17.44 | |
BCBS
| Professional | $15.50 | $15.50 | $15.50 | |
Cigna
| Professional | $2.89 | $2.89 | $2.89 | |
Medica
| Facility | $7.50 | $9.41 | $85.00 | |
Medica
| Professional | $2.73 | $12.37 | $18.11 | |
United
| Professional | $2.88 | $11.29 | $18.11 |