| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $31.62 | $95.50 | |
Aetna
| Professional | $20.89 | $23.99 | $30.90 | |
Cigna
| Facility | $20.42 | $20.42 | $85.11 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
Medica
| Facility | $16.60 | $24.55 | $104.71 | |
Medica
| Professional | $13.18 | $13.18 | $31.62 | |
United
| Facility | $11.48 | $31.62 | $38.02 | |
United
| Professional | $13.18 | $13.18 | $19.05 |