| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.76 | $8.76 | $19.71 | |
Aetna
| Professional | $8.76 | $10.95 | $10.95 | |
Cigna
| Professional | $9.75 | $9.75 | $12.19 | |
Medica
| Facility | $6.32 | $10.95 | $14.89 | |
Medica
| Professional | $10.95 | $10.95 | $11.89 | |
United
| Professional | $9.31 | $10.95 | $11.89 |