| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.87 | $14.87 | $14.87 | |
Aetna
| Professional | $13.31 | $14.74 | $14.87 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Medica
| Facility | $14.65 | $20.28 | $42.16 | |
Medica
| Professional | $8.08 | $14.59 | $197.89 | |
United
| Professional | $7.06 | $11.15 | $17.16 |