| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.45 | $23.45 | $28.19 | |
Aetna
| Professional | $23.11 | $23.11 | $23.45 | |
Cigna
| Facility | $26.07 | $26.07 | $26.72 | |
Cigna
| Professional | $16.07 | $22.16 | $27.84 | |
Medica
| Facility | $10.78 | $24.62 | $184.95 | |
Medica
| Professional | $11.14 | $18.77 | $38.95 | |
United
| Professional | $11.14 | $16.70 | $23.96 |