| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.03 | $14.03 | $14.03 | |
Aetna
| Professional | $14.03 | $14.82 | $29.84 | |
Cigna
| Professional | $9.38 | $9.47 | $11.91 | |
Medica
| Facility | $14.03 | $14.03 | $23.85 | |
Medica
| Professional | $4.67 | $6.52 | $9.77 | |
United
| Professional | $3.46 | $5.63 | $9.77 |