| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.62 | $21.62 | $41.35 | |
Aetna
| Professional | $21.62 | $27.02 | $27.02 | |
Cigna
| Professional | $9.75 | $9.85 | $12.38 | |
Medica
| Facility | $19.54 | $21.62 | $64.86 | |
Medica
| Professional | $22.52 | $22.52 | $24.46 | |
United
| Professional | $19.14 | $22.52 | $24.46 |