| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.88 | $10.88 | $10.88 | |
Aetna
| Professional | $5.25 | $7.15 | $10.88 | |
BCBS
| Professional | $10.79 | $10.79 | $10.79 | |
Cigna
| Professional | $4.01 | $4.01 | $4.01 | |
Medica
| Facility | $5.46 | $8.74 | $20.50 | |
Medica
| Professional | $3.28 | $4.91 | $79.51 | |
United
| Professional | $3.28 | $4.87 | $6.76 |