| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.69 | $6.69 | $17.77 | |
Aetna
| Professional | $6.69 | $10.29 | $20.52 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $17.50 | $21.07 | $25.55 | |
Medica
| Facility | $6.69 | $17.09 | $33.75 | |
Medica
| Professional | $9.25 | $18.18 | $153.85 | |
United
| Professional | $9.06 | $17.61 | $23.94 |