| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $15.14 | $24.55 | |
Aetna
| Professional | $13.18 | $24.55 | $45.71 | |
Cigna
| Professional | $20.89 | $29.51 | $44.67 | |
Medica
| Facility | $11.75 | $15.14 | $31.62 | |
Medica
| Facility | 52 | $26.92 | $26.92 | $52.48 |
Medica
| Professional | $15.14 | $26.92 | $251.19 | |
United
| Professional | $15.85 | $26.30 | $37.15 |