| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.30 | $16.30 | $20.53 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Medica
| Facility | $14.84 | $18.48 | $26.19 | |
Medica
| Professional | $13.38 | $15.12 | $16.05 | |
United
| Professional | $13.38 | $15.12 | $16.05 |