| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.14 | $18.70 | $34.86 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
BCBS
| Facility | $10.01 | $13.20 | $15.00 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Medica
| Facility | $2.94 | $3.70 | $10.00 |