| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $239.88 | |
Aetna
| Professional | $5.01 | $7.94 | $10.00 | |
Cigna
| Facility | $13.49 | $13.49 | $13.49 | |
Cigna
| Professional | $40.74 | $40.74 | $40.74 | |
Medica
| Facility | $6.31 | $10.96 | $15.85 | |
Medica
| Professional | $8.32 | $14.45 | $53.70 | |
United
| Professional | $8.32 | $12.59 | $25.70 |