| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.09 | $11.09 | $11.09 | |
Aetna
| Professional | $11.09 | $11.09 | $11.09 | |
Cigna
| Facility | $9.69 | $9.69 | $10.27 | |
Cigna
| Professional | $10.27 | $10.27 | $10.27 | |
Medica
| Facility | $10.16 | $10.98 | $75.00 | |
Medica
| Professional | $10.16 | $10.16 | $10.28 | |
United
| Professional | $10.27 | $10.27 | $10.89 |