| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $11.22 | |
Aetna
| Professional | $10.96 | $10.96 | $10.96 | |
Cigna
| Professional | $11.22 | $11.22 | $14.13 | |
Medica
| Facility | $9.55 | $9.55 | $18.62 | |
Medica
| Professional | $9.77 | $10.96 | $11.22 | |
United
| Professional | $10.00 | $10.96 | $12.02 |