| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.84 | $11.84 | $23.87 | |
Aetna
| Professional | $11.84 | $14.87 | $14.87 | |
Cigna
| Professional | $31.13 | $31.13 | $38.90 | |
Medica
| Facility | $11.84 | $17.50 | $20.13 | |
Medica
| Professional | $17.50 | $17.50 | $19.01 | |
United
| Professional | $14.88 | $17.50 | $21.70 |