| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.28 | $10.00 | $16.04 | |
BCBS
| Facility | $2.40 | $8.67 | $15.68 | |
BCBS
| Professional | $6.00 | $8.00 | $13.30 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medica
| Facility | $10.00 | $16.04 | $100.00 | |
Medica
| Professional | $15.14 | $15.14 | $15.14 |