| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.75 | $23.44 | $33.88 | |
Aetna
| Professional | $10.96 | $11.75 | $19.95 | |
Cigna
| Professional | $11.75 | $12.30 | $14.45 | |
Medica
| Facility | $12.59 | $21.88 | $85.11 | |
Medica
| Professional | $12.02 | $12.02 | $14.45 | |
United
| Facility | $11.75 | $14.45 | $38.02 | |
United
| Professional | $12.02 | $12.02 | $15.14 |