| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.95 | $17.27 | $41.45 | |
Aetna
| Professional | $12.78 | $12.78 | $12.95 | |
Cigna
| Facility | $11.23 | $11.23 | $46.16 | |
Cigna
| Professional | $19.82 | $19.82 | $24.78 | |
Medica
| Facility | $8.98 | $13.82 | $57.85 | |
Medica
| Professional | $7.25 | $7.25 | $11.23 | |
United
| Professional | $7.25 | $7.25 | $10.36 |