| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.34 | $21.73 | $48.31 | |
Aetna
| Professional | $19.34 | $20.44 | $21.84 | |
Cigna
| Professional | $21.34 | $28.15 | $33.63 | |
Medica
| Facility | $19.34 | $23.21 | $31.79 | |
Medica
| Professional | $19.17 | $24.26 | $144.02 | |
United
| Professional | $18.48 | $22.37 | $35.11 |