| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $29.51 | $89.13 | |
Aetna
| Professional | $19.05 | $23.99 | $33.88 | |
Cigna
| Facility | $19.05 | $19.05 | $79.43 | |
Cigna
| Professional | $36.31 | $36.31 | $43.65 | |
Medica
| Facility | $21.88 | $29.51 | $51.29 | |
Medica
| Professional | $12.30 | $13.80 | $112.20 | |
United
| Facility | $12.30 | $29.51 | $35.48 | |
United
| Professional | $12.30 | $13.80 | $19.95 |