| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.07 | $18.78 | $27.35 | |
Aetna
| Professional | $11.43 | $18.20 | $21.41 | |
Medica
| Facility | $17.07 | $17.07 | $89.29 | |
Medica
| Professional | $18.69 | $23.87 | $124.17 | |
United
| Professional | $18.28 | $22.74 | $34.64 |