| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.35 | $59.49 | $65.94 | |
Aetna
| Professional | $17.00 | $20.00 | $42.35 | |
Cigna
| Professional | $22.76 | $22.76 | $28.45 | |
Medica
| Facility | $20.00 | $20.00 | $34.00 | |
Medica
| Professional | $23.53 | $24.59 | $24.59 | |
United
| Professional | $22.35 | $24.59 | $29.18 |