| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $33.88 | $102.33 | |
Aetna
| Professional | $21.88 | $25.70 | $38.02 | |
Cigna
| Facility | $21.88 | $21.88 | $91.20 | |
Cigna
| Professional | $41.69 | $41.69 | $50.12 | |
Medica
| Facility | $25.12 | $33.88 | $58.88 | |
Medica
| Professional | $14.13 | $14.13 | $125.89 | |
United
| Facility | $14.13 | $33.88 | $40.74 | |
United
| Professional | $14.13 | $14.13 | $22.39 |