| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.69 | $13.69 | $13.69 | |
Aetna
| Professional | $13.69 | $13.69 | $13.94 | |
Cigna
| Facility | $11.97 | $11.97 | $11.97 | |
Cigna
| Professional | $11.97 | $11.97 | $12.51 | |
Medica
| Facility | $12.32 | $14.37 | $44.66 | |
Medica
| Professional | $45.67 | $54.32 | $57.68 | |
United
| Professional | $48.89 | $56.61 | $61.75 |