| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.20 | $29.60 | $71.04 | |
Aetna
| Professional | $21.90 | $21.90 | $31.67 | |
Cigna
| Facility | $19.23 | $19.23 | $79.08 | |
Cigna
| Professional | $36.34 | $36.34 | $43.53 | |
Medica
| Facility | $21.90 | $29.60 | $49.73 | |
Medica
| Professional | $12.43 | $13.81 | $44.40 | |
United
| Professional | $12.43 | $13.81 | $19.73 |