| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.36 | $25.36 | $25.36 | |
Aetna
| Professional | $12.67 | $12.67 | $13.94 | |
Cigna
| Facility | $11.97 | $11.97 | $11.97 | |
Cigna
| Professional | $11.97 | $11.97 | $11.97 | |
Medica
| Facility | $12.04 | $13.95 | $19.92 | |
Medica
| Professional | $48.07 | $54.32 | $57.68 | |
United
| Professional | $51.46 | $58.15 | $61.75 |