| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.99 | $9.99 | $19.88 | |
Aetna
| Professional | $9.99 | $9.99 | $9.99 | |
BCBS
| Facility | $5.73 | $9.02 | $14.32 | |
Cigna
| Facility | $10.48 | $10.48 | $10.48 | |
Cigna
| Professional | $0.38 | $10.48 | $10.48 | |
Medica
| Facility | $7.87 | $10.49 | $100.00 | |
Medica
| Professional | $10.27 | $10.27 | $10.27 | |
United
| Professional | $10.27 | $10.27 | $10.27 |