| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.82 | $25.10 | $60.24 | |
Aetna
| Professional | $18.82 | $23.67 | $23.67 | |
Cigna
| Facility | $16.32 | $16.32 | $67.08 | |
Medica
| Facility | $18.57 | $21.47 | $40.15 | |
Medica
| Professional | $10.54 | $11.70 | $94.26 | |
United
| Professional | $10.54 | $10.54 | $16.71 |