| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.26 | $13.26 | $26.39 | |
Aetna
| Professional | $13.26 | $13.26 | $13.26 | |
Cigna
| Facility | $13.91 | $13.91 | $13.91 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
Medica
| Facility | $13.26 | $15.55 | $90.90 | |
Medica
| Professional | $13.64 | $13.64 | $13.64 | |
United
| Professional | $13.64 | $13.64 | $13.64 |