| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.05 | $10.05 | $10.05 | |
Aetna
| Professional | $4.84 | $6.59 | $10.05 | |
BCBS
| Professional | $9.96 | $9.96 | $9.96 | |
Cigna
| Professional | $3.72 | $3.72 | $3.72 | |
Medica
| Facility | $5.05 | $10.05 | $21.79 | |
Medica
| Professional | $3.02 | $4.54 | $148.41 | |
United
| Professional | $3.02 | $4.54 | $6.24 |