| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $18.39 | $44.16 | |
Aetna
| Professional | $13.62 | $13.62 | $13.80 | |
Cigna
| Facility | $11.96 | $11.96 | $49.16 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Medica
| Facility | $9.57 | $14.72 | $61.64 | |
Medica
| Professional | $7.73 | $7.73 | $11.96 | |
United
| Professional | $7.73 | $7.73 | $11.04 |