| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.36 | $15.36 | $15.36 | |
Aetna
| Professional | $14.52 | $15.46 | $18.14 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medica
| Facility | $15.16 | $16.62 | $30.06 | |
Medica
| Professional | $15.88 | $20.78 | $113.84 | |
United
| Professional | $15.30 | $20.14 | $26.12 |