| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.83 | $23.84 | $23.84 | |
Aetna
| Professional | $23.82 | $23.83 | $24.27 | |
Cigna
| Facility | $21.82 | $21.82 | $21.82 | |
Cigna
| Professional | $12.51 | $21.82 | $21.82 | |
Medica
| Facility | $19.20 | $23.84 | $34.09 | |
Medica
| Professional | $18.73 | $22.72 | $23.66 | |
United
| Professional | $18.73 | $23.27 | $23.98 |