| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.93 | $8.93 | $8.93 | |
Aetna
| Professional | $4.30 | $5.87 | $8.93 | |
BCBS
| Professional | $8.85 | $8.85 | $8.85 | |
Cigna
| Professional | $3.30 | $3.30 | $3.30 | |
Medica
| Facility | $4.48 | $8.93 | $19.41 | |
Medica
| Professional | $2.69 | $4.04 | $107.77 | |
United
| Professional | $2.69 | $4.04 | $5.58 |