| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.11 | $7.11 | $7.11 | |
Aetna
| Professional | $7.11 | $7.11 | $7.48 | |
BCBS
| Professional | $7.48 | $7.48 | $7.48 | |
Cigna
| Professional | $2.89 | $2.89 | $2.89 | |
Medica
| Facility | $7.11 | $8.94 | $17.57 | |
Medica
| Professional | $2.73 | $7.16 | $15.74 | |
United
| Professional | $2.73 | $7.74 | $15.74 |