| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.91 | $11.91 | $11.92 | |
Aetna
| Professional | $11.91 | $11.92 | $12.13 | |
Cigna
| Facility | $10.91 | $10.91 | $10.91 | |
Cigna
| Professional | $6.26 | $10.91 | $10.91 | |
Medica
| Facility | $6.34 | $10.93 | $27.65 | |
Medica
| Professional | $9.36 | $11.58 | $11.99 | |
United
| Professional | $9.36 | $11.62 | $11.83 |