| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.06 | $12.06 | $12.06 | |
Aetna
| Professional | $8.52 | $10.39 | $12.06 | |
Cigna
| Professional | $9.52 | $9.52 | $9.52 | |
Medica
| Facility | $8.27 | $12.06 | $14.47 | |
Medica
| Professional | $7.52 | $10.16 | $62.60 | |
United
| Professional | $6.77 | $10.05 | $13.32 |