| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.28 | $31.60 | $75.84 | |
Aetna
| Professional | $23.70 | $23.70 | $25.28 | |
Cigna
| Facility | $20.54 | $20.54 | $27.73 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Medica
| Facility | $16.43 | $23.70 | $105.86 | |
Medica
| Professional | $13.27 | $13.27 | $31.60 | |
United
| Professional | $13.27 | $13.27 | $20.22 |