| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $25.58 | $30.75 | |
Aetna
| Professional | $25.21 | $25.21 | $25.58 | |
Cigna
| Facility | $25.81 | $25.81 | $27.98 | |
Cigna
| Professional | $21.94 | $25.81 | $34.31 | |
Medica
| Facility | $11.76 | $26.86 | $201.75 | |
Medica
| Professional | $12.14 | $20.47 | $42.48 | |
United
| Professional | $12.14 | $18.22 | $26.14 |