| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $28.84 | |
Aetna
| Professional | $15.14 | $19.95 | $32.36 | |
Cigna
| Professional | $15.14 | $25.70 | $37.15 | |
Medica
| Facility | $17.38 | $28.18 | $4,168.69 | |
Medica
| Professional | $20.42 | $27.54 | $281.84 | |
United
| Professional | $13.80 | $20.89 | $30.90 |