| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $16.60 | |
Aetna
| Professional | $15.85 | $15.85 | $16.22 | |
Cigna
| Professional | $12.88 | $12.88 | $15.85 | |
Medica
| Facility | $16.22 | $16.22 | $27.54 | |
Medica
| Professional | $13.49 | $14.45 | $14.79 | |
United
| Professional | $13.49 | $14.79 | $14.79 |