| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.68 | $87.25 | $87.25 | |
Aetna
| Professional | $18.67 | $18.67 | $18.68 | |
Cigna
| Professional | $21.26 | $21.26 | $26.58 | |
Medica
| Facility | $18.68 | $18.68 | $31.76 | |
Medica
| Professional | $21.98 | $22.97 | $22.97 | |
United
| Professional | $20.88 | $22.97 | $23.59 |