| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.60 | $17.60 | $38.08 | |
Aetna
| Professional | $17.60 | $17.60 | $17.93 | |
Cigna
| Facility | $13.99 | $13.99 | $13.99 | |
Cigna
| Professional | $13.99 | $13.99 | $14.74 | |
Medica
| Facility | $10.95 | $17.60 | $26.19 | |
Medica
| Professional | $12.71 | $14.55 | $16.05 | |
United
| Professional | $12.71 | $14.34 | $16.05 |