| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.45 | $28.80 | $43.20 | |
Aetna
| Professional | $9.61 | $9.61 | $11.95 | |
Cigna
| Facility | $7.25 | $7.25 | $7.25 | |
Medica
| Facility | $10.57 | $14.40 | $18.89 | |
Medica
| Professional | $14.40 | $14.40 | $15.89 | |
United
| Professional | $14.40 | $14.40 | $14.40 |