| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $10.00 | $10.00 | |
BCBS
| Professional | $22.91 | $23.99 | $23.99 | |
Cigna
| Professional | $10.23 | $10.72 | $12.59 | |
Medica
| Facility | $1.58 | $10.96 | $28.84 | |
Medica
| Professional | $26.30 | $43.65 | $60.26 | |
United
| Facility | $23.99 | $23.99 | $23.99 | |
United
| Professional | $23.99 | $43.65 | $60.26 |