| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.43 | $24.25 | $52.56 | |
Aetna
| Professional | $16.21 | $16.21 | $16.43 | |
Cigna
| Facility | $12.22 | $15.30 | $28.82 | |
Cigna
| Professional | $9.80 | $17.76 | $31.49 | |
Medica
| Facility | $15.95 | $17.25 | $104.03 | |
Medica
| Professional | $9.19 | $10.35 | $24.65 | |
United
| Professional | $9.19 | $10.16 | $14.24 |