| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $0.73 | $0.73 | |
Aetna
| Professional | $0.73 | $0.73 | $0.73 | |
BCBS
| Professional | $6.07 | $6.07 | $6.07 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 | |
Medica
| Facility | $0.73 | $0.92 | $100.00 |