| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.91 | $12.91 | $16.00 | |
Aetna
| Professional | $12.91 | $15.60 | $19.38 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medica
| Facility | $13.56 | $18.41 | $35.19 | |
Medica
| Professional | $16.11 | $22.92 | $113.84 | |
United
| Professional | $16.05 | $22.96 | $32.78 |