| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Facility | $42.29 | $43.60 | $43.60 | |
BCBS
| Professional | $34.88 | $42.29 | $43.60 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
Medica
| Facility | $4.00 | $4.00 | $7.20 | |
United
| Professional | $37.74 | $63.81 | $63.81 |