| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.37 | $14.37 | $14.37 | |
Aetna
| Professional | $14.37 | $14.37 | $14.37 | |
Cigna
| Facility | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $12.08 | $14.21 | $14.21 | |
Medica
| Facility | $14.15 | $14.37 | $90.00 | |
Medica
| Professional | $6.47 | $10.61 | $15.77 | |
United
| Professional | $6.47 | $10.69 | $15.77 |