| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.76 | $11.76 | $23.40 | |
Aetna
| Professional | $11.76 | $11.76 | $11.76 | |
Cigna
| Facility | $12.34 | $12.34 | $12.34 | |
Cigna
| Professional | $12.34 | $12.34 | $12.34 | |
Medica
| Facility | $10.72 | $12.35 | $85.00 | |
Medica
| Professional | $12.10 | $12.10 | $12.10 | |
United
| Professional | $12.10 | $12.10 | $12.83 |