| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.16 | $24.16 | $24.16 | |
Aetna
| Professional | $13.59 | $19.45 | $24.16 | |
Cigna
| Professional | $16.13 | $16.29 | $20.48 | |
Medica
| Facility | $13.63 | $23.44 | $28.75 | |
Medica
| Professional | $17.23 | $43.18 | $148.97 | |
United
| Professional | $16.18 | $26.96 | $60.16 |