| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.09 | $20.72 | $31.08 | |
Aetna
| Professional | $8.60 | $8.60 | $31.08 | |
Cigna
| Facility | $9.16 | $9.16 | $9.16 | |
Cigna
| Professional | $9.16 | $9.16 | $9.16 | |
Medica
| Facility | $8.61 | $10.80 | $139.19 | |
Medica
| Professional | $10.36 | $10.36 | $10.36 | |
United
| Professional | $10.36 | $10.36 | $10.36 |