| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.78 | $11.64 | $19.79 | |
Aetna
| Professional | $11.62 | $11.62 | $11.62 | |
Cigna
| Facility | $10.15 | $10.15 | $10.76 | |
Cigna
| Professional | $10.76 | $10.76 | $10.76 | |
Medica
| Facility | $8.47 | $10.89 | $75.00 | |
Medica
| Professional | $10.48 | $10.78 | $10.78 | |
United
| Professional | $10.76 | $10.76 | $11.41 |