| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $16.98 | $17.78 | |
Aetna
| Professional | $14.13 | $14.13 | $16.98 | |
Cigna
| Professional | $61.66 | $61.66 | $81.28 | |
Medica
| Facility | $14.13 | $15.85 | $30.20 | |
Medica
| Professional | $61.66 | $61.66 | $67.61 | |
United
| Professional | $61.66 | $61.66 | $69.18 |