| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.45 | |
Aetna
| Professional | $10.96 | $12.02 | $19.95 | |
Cigna
| Professional | $15.14 | $15.14 | $18.62 | |
Medica
| Facility | $16.60 | $20.89 | $35.48 | |
Medica
| Professional | $12.30 | $14.45 | $14.45 | |
United
| Professional | $14.45 | $14.45 | $18.20 |