| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $35.48 | $104.71 | |
Aetna
| Professional | $22.91 | $26.92 | $39.81 | |
Cigna
| Facility | $22.91 | $22.91 | $93.33 | |
Cigna
| Professional | $42.66 | $42.66 | $51.29 | |
Medica
| Facility | $25.70 | $35.48 | $61.66 | |
Medica
| Professional | $14.79 | $14.79 | $131.83 | |
United
| Facility | $14.79 | $35.48 | $41.69 | |
United
| Professional | $14.79 | $14.79 | $22.91 |