| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.57 | $11.57 | $17.04 | |
Aetna
| Professional | $11.14 | $11.14 | $11.57 | |
Cigna
| Facility | $12.18 | $12.18 | $12.18 | |
Cigna
| Professional | $8.89 | $12.18 | $12.18 | |
Medica
| Facility | $5.91 | $14.69 | $95.99 | |
Medica
| Professional | $6.10 | $11.37 | $23.89 | |
United
| Professional | $6.10 | $9.15 | $13.13 |