| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.06 | $6.06 | $15.14 | |
Aetna
| Professional | $6.06 | $7.88 | $8.75 | |
Cigna
| Facility | $9.69 | $9.69 | $9.69 | |
Cigna
| Professional | $40.54 | $40.54 | $40.54 | |
Medica
| Facility | $6.06 | $12.62 | $15.14 | |
Medica
| Professional | $8.86 | $17.05 | $54.23 | |
United
| Professional | $8.41 | $15.39 | $21.75 |