| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.40 | $10.40 | $23.40 | |
Aetna
| Professional | $10.40 | $13.00 | $13.00 | |
Cigna
| Professional | $10.13 | $10.23 | $12.66 | |
Medica
| Facility | $10.40 | $13.00 | $17.68 | |
Medica
| Professional | $13.00 | $13.00 | $14.12 | |
United
| Professional | $11.05 | $13.00 | $14.12 |