| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $26.92 | $41.69 | |
Aetna
| Professional | $19.95 | $21.88 | $26.92 | |
Cigna
| Professional | $9.77 | $9.77 | $12.30 | |
Medica
| Facility | $20.42 | $21.38 | $64.57 | |
Medica
| Professional | $22.39 | $22.39 | $24.55 | |
United
| Professional | $19.05 | $22.39 | $25.12 |