| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.51 | $18.91 | $32.15 | |
Aetna
| Professional | $19.91 | $19.91 | $19.91 | |
Cigna
| Facility | $17.39 | $17.39 | $18.44 | |
Cigna
| Professional | $9.49 | $18.44 | $18.44 | |
Medica
| Facility | $9.65 | $18.91 | $75.00 | |
Medica
| Professional | $17.51 | $17.51 | $18.39 | |
United
| Professional | $18.44 | $18.44 | $19.55 |