| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.63 | $12.40 | $34.77 | |
Aetna
| Professional | $5.25 | $6.65 | $9.61 | |
Cigna
| Facility | $6.55 | $6.55 | $6.55 | |
Cigna
| Professional | $6.55 | $6.55 | $6.55 | |
Medica
| Facility | $5.91 | $9.32 | $14.15 | |
Medica
| Professional | $11.59 | $11.59 | $990.60 | |
United
| Professional | $11.59 | $11.59 | $12.29 |