| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $18.84 | $32.03 | |
Aetna
| Professional | $19.03 | $19.03 | $19.03 | |
Cigna
| Facility | $16.62 | $16.62 | $17.62 | |
Cigna
| Professional | $17.62 | $17.62 | $17.62 | |
Medica
| Facility | $17.44 | $19.78 | $75.00 | |
Medica
| Professional | $17.44 | $17.44 | $17.62 | |
United
| Professional | $17.50 | $17.62 | $17.62 |