| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.40 | $33.86 | $81.26 | |
Aetna
| Professional | $25.06 | $25.06 | $36.22 | |
Cigna
| Facility | $22.01 | $22.01 | $29.71 | |
Cigna
| Professional | $41.59 | $41.59 | $49.83 | |
Medica
| Facility | $25.06 | $33.86 | $56.88 | |
Medica
| Professional | $14.22 | $14.22 | $50.79 | |
United
| Professional | $14.22 | $14.22 | $33.86 |