| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.38 | $20.38 | $24.50 | |
Aetna
| Professional | $20.07 | $20.07 | $20.38 | |
Cigna
| Facility | $5.33 | $19.37 | $19.37 | |
Cigna
| Professional | $16.19 | $16.46 | $28.04 | |
Medica
| Facility | $10.86 | $22.05 | $178.68 | |
Medica
| Professional | $11.22 | $19.01 | $33.43 | |
United
| Professional | $11.22 | $16.82 | $24.14 |