| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.03 | $16.03 | $36.07 | |
Aetna
| Professional | $16.03 | $20.04 | $20.04 | |
Cigna
| Professional | $15.38 | $15.53 | $19.22 | |
Medica
| Facility | $16.03 | $16.03 | $48.09 | |
Medica
| Professional | $20.04 | $20.04 | $21.76 | |
United
| Professional | $17.03 | $20.04 | $21.76 |