| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.50 | $31.33 | $75.19 | |
Aetna
| Professional | $3.90 | $16.60 | $23.18 | |
Cigna
| Facility | $20.36 | $20.59 | $40.54 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
Medica
| Facility | $20.86 | $26.00 | $79.89 | |
Medica
| Professional | $13.16 | $13.16 | $31.33 | |
United
| Professional | $13.16 | $13.16 | $18.80 |