| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.49 | $12.49 | $15.02 | |
Aetna
| Professional | $12.31 | $12.31 | $12.49 | |
Cigna
| Facility | $13.91 | $13.91 | $14.26 | |
Cigna
| Professional | $8.56 | $11.82 | $14.83 | |
Medica
| Facility | $5.75 | $13.11 | $98.56 | |
Medica
| Professional | $5.93 | $10.00 | $20.75 | |
United
| Professional | $5.93 | $9.38 | $12.77 |