| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.10 | $11.10 | $229.00 | |
Aetna
| Professional | $6.88 | $11.10 | $31.37 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $17.35 | $20.63 | $48.34 | |
Medica
| Facility | $9.63 | $17.77 | $23.40 | |
Medica
| Professional | $9.74 | $17.19 | $51.77 | |
United
| Professional | $9.34 | $16.23 | $29.70 |