| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.11 | $6.11 | $6.11 | |
Aetna
| Professional | $4.63 | $6.11 | $6.11 | |
BCBS
| Facility | $11.45 | $12.49 | $13.26 | |
BCBS
| Professional | $11.78 | $11.78 | $11.78 | |
Cigna
| Professional | $2.60 | $2.60 | $2.60 | |
Medica
| Facility | $5.11 | $6.92 | $85.00 | |
Medica
| Professional | $2.10 | $8.49 | $12.43 | |
United
| Professional | $2.10 | $8.02 | $11.04 |