| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $26.80 | |
Aetna
| Professional | $10.96 | $14.64 | $15.75 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $20.99 | $36.15 | $73.26 | |
Medica
| Facility | $10.96 | $22.34 | $26.92 | |
Medica
| Professional | $16.60 | $30.74 | $100.43 | |
United
| Professional | $15.41 | $29.12 | $40.61 |