| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $40.74 | $40.74 | |
Aetna
| Professional | $14.13 | $25.12 | $33.11 | |
Cigna
| Professional | $27.54 | $27.54 | $27.54 | |
Medica
| Facility | $22.91 | $26.30 | $165.96 | |
Medica
| Professional | $2.88 | $16.98 | $199.53 | |
United
| Facility | $2.82 | $2.82 | $2.82 | |
United
| Professional | $2.63 | $15.85 | $25.70 |