| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.18 | $47.47 | $47.47 | |
Aetna
| Professional | $20.17 | $20.18 | $20.54 | |
Cigna
| Facility | $20.65 | $20.65 | $20.65 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
Medica
| Facility | $17.84 | $20.88 | $28.86 | |
Medica
| Professional | $19.84 | $22.97 | $25.06 | |
United
| Professional | $19.84 | $21.98 | $25.06 |