| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.19 | $19.19 | $19.20 | |
Cigna
| Professional | $18.75 | $18.75 | $23.44 | |
Medica
| Facility | $16.98 | $19.20 | $32.64 | |
Medica
| Professional | $25.74 | $27.95 | $28.31 | |
United
| Professional | $25.74 | $28.31 | $29.09 |