| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $23.99 | $95.50 | |
Aetna
| Professional | $18.20 | $20.89 | $25.70 | |
Cigna
| Professional | $21.38 | $29.51 | $35.48 | |
Medica
| Facility | $19.05 | $23.44 | $32.36 | |
Medica
| Professional | $18.62 | $23.99 | $144.54 | |
United
| Professional | $17.38 | $20.89 | $30.90 |