| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.95 | $5.95 | $5.95 | |
Aetna
| Professional | $2.87 | $3.91 | $5.95 | |
BCBS
| Professional | $5.90 | $5.90 | $5.90 | |
Cigna
| Professional | $2.20 | $2.20 | $2.20 | |
Medica
| Facility | $2.99 | $5.95 | $12.91 | |
Medica
| Professional | $1.79 | $2.69 | $83.04 | |
United
| Professional | $1.79 | $2.69 | $3.71 |