| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.91 | $15.49 | $19.37 | |
Aetna
| Professional | $9.33 | $14.78 | $16.53 | |
Cigna
| Professional | $11.22 | $11.87 | $18.55 | |
Medica
| Facility | $12.91 | $12.91 | $71.14 | |
Medica
| Professional | $14.11 | $17.53 | $100.43 | |
United
| Professional | $14.00 | $16.60 | $31.35 |