| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.17 | $18.17 | $18.17 | |
Aetna
| Professional | $16.86 | $18.55 | $29.13 | |
Cigna
| Facility | $165.07 | $165.07 | $1,926.49 | |
Cigna
| Professional | $19.28 | $31.31 | $49.35 | |
Medica
| Facility | $16.55 | $22.79 | $48.60 | |
Medica
| Professional | $16.82 | $24.81 | $51.33 | |
United
| Professional | $16.48 | $22.83 | $42.64 |