| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.59 | $13.49 | $22.91 | |
Aetna
| Professional | $12.02 | $12.59 | $16.98 | |
Cigna
| Facility | $11.75 | $11.75 | $48.98 | |
Cigna
| Professional | $12.59 | $12.59 | $48.98 | |
Medica
| Facility | $14.45 | $16.98 | $141.25 | |
Medica
| Professional | $12.30 | $14.45 | $15.85 | |
United
| Facility | $0.15 | $0.15 | $7.41 | |
United
| Professional | $9.33 | $12.59 | $14.79 |